HEALTHsuite

HEALTHsuite

RAM Technologies
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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).

About

As an industry leader of health plan solutions that drive digital transformation in healthcare, Inovaare automates complex Medicare, Medicaid and Commercial appeals and grievances (A&G) and Compliance Program Effectiveness (CPE) workflows. Its configurable cloud-based modules compile real-time data across internal and external departments, creating one compliance management system. The HIPAA-compliant platform integrates the most current, best-practice regulatory processes to help health plans efficiently meet their unique business requirements, sustain audit readiness, reduce non-compliance risks and lower overall operating costs. Inovaare’s industry-leading Appeals & Grievances and Regulatory Compliance health plans solutions automate time-consuming manual compliance processes to ensure higher CMS reimbursements, reduced compliance audit risks, and lower operating costs. Configurable software that optimizes risk identification, supports operations and displays intuitive analytics.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Helathcare organizations and companies seeking solution to improve their operations

Audience

Healthcare organizations interested in a health plan platform to improve reimbursements, ensure compliance, and lower costs

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

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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Reviews/Ratings

Overall 1.0 / 5
ease 1.0 / 5
features 1.0 / 5
design 1.0 / 5
support 1.0 / 5

Pros & Cons from Real Users

Pros

  • Nothing. This system is hard to use and not well organized. he training was horrible and didn’t cover what was needed for my job function. I feel like this system is cutting corners on our workflow, and making our customer experience more generic and computer generated. I am not a fan. I am highly debating leaving my company that I have been at for four years because of this new software. It does not have correct deadline dates and very confusing to use.

Cons

  • There is nothing good about this software. It’s confusing and has a billion areas that need to be filled out with a character limit.

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

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

Company Information

Inovaare
Founded: 2006
United States
www.inovaare.com

Alternatives

Virtual Benefits Administrator (VBA)

Virtual Benefits Administrator (VBA)

Virtual Benefits Administrator

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Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health

Categories

Categories

Claims Processing Features

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

Integrations

Aerial
Rackspace Cloud Files

Integrations

Aerial
Rackspace Cloud Files
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