RAM Technologies, Inc. Latest Release of HEALTHsuite® Core Administrative Platform Offers Enhanced Automation for CMS MA and MAPD Enrollment Process

Share Article

RAM Technologies, Inc. increases depth and breadth of functionality for Medicare and Medicaid health plans with release of version 16 of the enterprise claims management solution HEALTHsuite® Mercato.

HEALTHsuite Mercato

This most recent addition to the platform revolutionizes the way health plans capture enrollment requests, and fully automates the interaction with CMS to verify enrollment in Medicare Advantage.

RAM Technologies, Inc., the perennial leader in the development of core administrative software for health plans, is pleased to announce the release of Version 16.01 of the fully integrated platform, HEALTHsuite® Mercato. This latest release features significant advancements to automate the Centers for Medicare and Medicaid Services (CMS) MA and MAPD enrollment process.

“We are constantly striving to provide the most comprehensive, fully integrated, end-to-end solution for health plans administering Medicare Advantage,” stated Robert A. Tulio, President of RAM Technologies. “This most recent addition to the platform revolutionizes the way health plans capture enrollment requests, and fully automates the interaction with CMS to verify enrollment in Medicare Advantage. We have removed the manual efforts and improved the integrity of the data, while lowering the total administrative cost of every enrollment request.”

This release provides health plans with an efficient and comprehensive process to automate the CMS MA and MAPD enrollment process from within the HEALTHsuite core administrative platform. The addition of the automated enrollment process, coupled with HEALTHsuite’s Medicare Advantage Support Pack, provides MA plans with an unmatched feature set to accelerate the enrollment process, preserve the integrity of the enrollment data and further simplify the exchange of information with CMS.

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

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

About RAM Technologies, Inc.
RAM Technologies is the leading provider of enterprise claims processing software and claims adjudication software for health plans. For over 37 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 ramtechinc.com.

Share article on social media or email:

View article via:

Pdf Print

Contact Author

+1 (215) 654-8810 Ext: 255
Email >
Visit website