RAM Technologies, Inc.: HEALTHsuite® Version 14 Provides Superior Capabilities for Medicare Advantage and Managed Medicaid

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RAM Technologies, Inc. increases depth and breadth of functionality for Medicare and Medicaid health plans with release of version 14 of the enterprise claims management solution HEALTHsuite® Mercato.

HEALTHsuite Mercato

These most recent enhancements reinforce our commitment to our clients and our core focus; to provide the tools and capabilities health plans need to get ahead in the twenty first century healthcare market.

RAM Technologies, Inc., the perennial leader in the development of enterprise software solutions for health plans, is pleased to announce the release of Version 14 of their enterprise application HEALTHsuite® Mercato. This latest release features significant advancements in health plan administration including expanded capabilities for engagement with CMS, greater system configurability, and enhanced correspondence generation to name a few.

“We are constantly extending the capabilities of the RAM solution suite to meet the needs of Medicare Advantage and Managed Medicaid,” states Robert A. Tulio, President of RAM Technologies. “These most recent enhancements reinforce our commitment to our clients and our core focus; to provide the tools and capabilities, health plans need to get ahead in the twenty first century healthcare market.”

The latest HEALTHsuite release includes many capabilities to improve the administration of government sponsored healthcare programs including:

  • CMS Premium Reconciliation
  • Support for New CMS Enrollment Interfacing
  • Improved Customer Alerts for HIPAA Compliance
  • Extended Selection Criteria for CMS Encounter Submission
  • Inclusion of GAPS in Medicare RBRVS Fee Schedule
  • And More…

HEALTHsuite Mercato is a highly adaptable, web-based solution designed to simplify the administration of government sponsored healthcare programs. HEALTHsuite Mercato provides unparalleled automation across the enterprise including eligibility and enrollment, plan / product and benefit administration, provider contracting and reimbursement, provider credentialing, medical / utilization management, care management, premium billing, encounter and claims administration, overpayment recovery, customer service and contact management, capitation, subrogation, fulfillment, EDI processing, management / operational reporting and more.

In addition to the enterprise capabilities provided by HEALTHsuite Mercato, RAM also offers a flexible and secure web portal, eHealthsuite. eHealthsuite enables members and providers to interact in real time with the health plan through a secure Internet connection. This 24 x 7 self-service functionality lowers administrative costs by reducing demands on a health plan’s customer service personnel.

About RAM Technologies:
RAM Technologies is the leading provider of enterprise claims processing software and claims adjudication software for health plans. For over 35 years RAM Technologies has led the way in the creation of Medicaid software solutions, Medicare software solutions and software for dual eligible processing (the Medicare-Medicaid Financial Alignment Initiative). RAM Technologies has been recognized on Inc. Magazine’s List of Fastest Growing Private Companies and the Philadelphia Business Journal’s List of Top Software Developers for their advancements in the creation of comprehensive claims management software for Medicare and Medicaid administration. To learn more about RAM Technologies’ healthcare claims processing and managed care software solutions call (877) 654-8810 or visit http://www.ramtechinc.com.

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RAM Technologies (Health Plan Software)

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