Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
HEALTHsuite provides a comprehensive benefit management system and claims processing software solution for health plans that administer Medicare Advantage and Medicaid benefits. HEALTHsuite, a rules-based auto adjudication solution, automates all aspects of enrollment / eligibility and benefit administration, provider contracting / reimburse, premium billing, care management, claim adjudication, customer support, reporting, and more.
Description
While resolving grievances and appeals of members, you must also adhere to regulatory guidelines. Our rule-driven engine allows you to prioritize and route service requests and optimizes resources. All decisions, notes, exceptions, and other information can be captured within the system for future reference or audits. Automate your service request processes to ensure member satisfaction, compliance, and future-proof your organization.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
RAM Technologies
Founded
1981
Country
United States
Website
ramtechnologiesinc.com/solutions-services/healthsuite-advantage/
Vendor Details
Company Name
Newgen Software
Founded
1992
Country
United States
Website
www.newgensoft.com
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration