AdjudicatorCervey
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HEALTHsuiteRAM Technologies
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Related Products
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Adjudicator:
About
Adjudicator is a plan management and prescription claims adjudication platform for pharmacy benefit managers, health plans, hospitals and health systems, pharmacy programs, managed care organizations, manufacturers, and retail pharmacies. It supports configurable plan designs and benefit structures, multi-tenant environments, pharmacy network configurations, and management of drugs, formularies, and maximum allowable cost (MAC) pricing. Its member portal provides real-time benefit-status and pending-claim tracking, secure document uploads, and notifications. A prior authorization dashboard provides access to claims data and secure communications. An API framework supports data exchange with internal processes and external business partners. Adjudicator helps organizations manage pharmacy benefits and prescription claims.
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HEALTHsuite:
About
HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Medicaid and / or Medicare Advantage benefits. HEALTHsuite is a rules-based auto adjudication software solution designed to automate all aspects of enrollment / eligibility, benefit administration, provider contracting / reimbursement, premium billing, medical management, care management, claims adjudication, customer service, reporting and more. RAM’s Medicare Advantage-in-a-Box offering is unique in the industry; the product of RAM’s extensive experience in Medicare Advantage and an unwavering commitment to changing our industry. HEALTHsuite Advantage™ and eHealthsuite™ are the cornerstones of our pre-configured Medicare Advantage-in-a-Box offering. HEALTHsuite Advantage is a fully integrated suite of modules providing our clients with an unmatched solution to administer their Medicare Advantage and Special Needs Plans (SNP’s).
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Adjudicator:
Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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HEALTHsuite:
Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Adjudicator:
Audience
Prescription Benefit Managers (PBMs), Third-Party Administrators (TPAs), Self-Funded Employers, Health Plans, Hospitals & Health Systems, Pharmaceutical Manufacturers, Cash & Discount Card Sponsors, Retail Chain Pharmacies
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HEALTHsuite:
Audience
Helathcare organizations and companies seeking solution to improve their operations
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Adjudicator:
Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Not Supported
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HEALTHsuite:
Support
Phone Support
Not Supported
24/7 Live Support
Supported
Online
Supported
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Adjudicator:
API
Offers API
Supported
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HEALTHsuite:
API
Offers API
Not Supported
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Adjudicator:
Screenshots and Videos |
HEALTHsuite:
Screenshots and Videos |
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Adjudicator:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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HEALTHsuite:
Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Adjudicator:
Reviews/
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HEALTHsuite:
Reviews/
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Adjudicator:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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HEALTHsuite:
Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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Adjudicator:
Company InformationCervey
Founded: 1978
United States
cervey.com
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HEALTHsuite:
Company InformationRAM Technologies
Founded: 1981
United States
ramtechnologiesinc.com/solutions-services/healthsuite-advantage/
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Adjudicator:
Alternatives |
HEALTHsuite:
Alternatives |
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Adjudicator:
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HEALTHsuite:
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HEALTHsuite:
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Adjudicator:
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HEALTHsuite:
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Adjudicator:
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HEALTHsuite:
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Adjudicator:
Categories |
HEALTHsuite:
Categories |
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HEALTHsuite:
Claims Processing Features
Adjustor Management
Supported
Case Management
Supported
Claim Resolution Tracking
Supported
Co-Pay & Deductible Tracking
Supported
Compliance Management
Supported
Customer Management
Supported
Electronic Claims
Supported
Forms Management
Supported
Paper-Based Claims
Supported
Payor Management
Supported
Policy Administration
Supported
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Adjudicator:
Integrations
No info available.
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HEALTHsuite:
Integrations
No info available.
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Adjudicator:
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HEALTHsuite:
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