Adjudicator

Adjudicator

Cervey
HEALTHsuite

HEALTHsuite

RAM Technologies
Adjudicator HEALTHsuite

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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.
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).
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
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
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
HEALTHsuite:

Audience

Helathcare organizations and companies seeking solution to improve their operations
Adjudicator:

Support

Phone Support Supported
24/7 Live Support Supported
Online Not Supported
HEALTHsuite:

Support

Phone Support Not Supported
24/7 Live Support Supported
Online Supported
Adjudicator:

API

Offers API Supported
HEALTHsuite:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

HEALTHsuite:

Screenshots and Videos

Adjudicator:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
HEALTHsuite:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
Adjudicator:

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

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HEALTHsuite:

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software
Adjudicator:

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported
HEALTHsuite:

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported
Adjudicator:

Company Information

Cervey
Founded: 1978
United States
cervey.com
HEALTHsuite:

Company Information

RAM Technologies
Founded: 1981
United States
ramtechnologiesinc.com/solutions-services/healthsuite-advantage/
Adjudicator:

Alternatives

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HEALTHsuite:

Alternatives

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Virtual Benefits Administrator
Adjudicator:
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HEALTHsuite:
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HEALTHsuite:
Adjudicator

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Cervey
Adjudicator:
Complete Claims

Complete Claims

Complete Health Systems
HEALTHsuite:
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Acero Health Technologies
Adjudicator:
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
HEALTHsuite:
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
Adjudicator:

Categories

HEALTHsuite:

Categories

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
Adjudicator:

Integrations

No info available.
HEALTHsuite:

Integrations

No info available.
Adjudicator:
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HEALTHsuite:
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