CLAIMS MANAGEMENT SYSTEMS

Automating Health Plan Administration with Advanced Technology

HEALTHsuite Mercato from RAM Technologies is an enterprise claims management system with fully integrated functionality to automate all aspects of a health plan's business. The HEALTHsuite Mercato claims management system provides advanced support for:

  • Eligibility / Enrollment
  • Benefit Administration
  • Provider Contracting and Reimbursement
  • Medical Management (Referrals / Authorizations / Pre-certs)
  • Premium Billing
  • Care Management
  • Claims Management / Encounter Processing
  • Overpayment Recovery
  • Capitation
  • Subrogation
  • Customer Service / Call Tracking
  • Fulfillment
  • Reporting / Warehouse
  • Electronic Data Interchange
  • and more
You can learn more about RAM Technologies and our advanced claims management systems by clicking on the links above or to request additional information on the features and functions of the solution suite click here.