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Alameda Alliance for Health Selects HEALTHsuite® from RAM to Upgrade Administrative Capabilities
Alameda Alliance for Health has selected the advanced healthcare administrative solution HEALTHsuite from RAM Technologies to upgrade capabilities and provide flexibility for future growth.
The Alliance will utilize RAM’s advanced solutions to administer benefits for their Medi-Cal, Healthy Families, Alliance Group Care and Alliance CompleteCare Medicare lines of business. Currently the plan serves more than 120,000 children and adults and has a network that includes more than 1,700 physicians, 15 hospitals, 30 community health clinics, and over 200 pharmacies.
“The Alliance was searching for a core system to support its business operations, and more importantly, a vendor who could partner with us to allow us to leverage their extensive experience. We needed an enterprise application solution that would support our growth while providing flexibility to adapt to the industry’s changing regulatory requirements,”
HEALTHsuite is a fully integrated, enterprise solution that automates all aspects of healthcare administration for payers. Developed for health plans, the HEALTHsuite system provides comprehensive functionality for eligibility / enrollment, benefit administration, provider contracting & reimbursement, credentialing, customer service, medical management, utilization management, care management, claims adjudication, overpayment recovery, subrogation, premium billing, fulfillment, Electronic Data Interchange, management / operational reporting and more.
eHealthsuite is a powerful e-Health solution that provides a secure web portal for members and providers to interact in real time with the health plan. The self-service capabilities of eHealthsuite permit users to conduct transactions from their offices or homes through a secure Internet connection. Plus, eHealthsuite supports real-time submission and adjudication of claims enabling providers and health plans options to curtail the expense involved in claims processing.
“HEALTHsuite and eHealthsuite provide the Alliance with a fully integrated enterprise platform designed to streamline operations. The capabilities of HEALTHsuite and eHealthsuite will enable the Alliance to better service their members and provider community while reducing workloads and ultimately controlling expenses” stated Christopher P. Minton, Executive Vice President of RAM Technologies. “We are very pleased to partner with the Alliance and we welcome them to the growing list of healthcare payers that have selected HEALTHsuite and eHealthsuite.”
About Alameda Alliance for Health
Alameda Alliance for Health is a public, not-for-profit managed health care plan committed to making high quality health care services accessible and affordable to lower income people of Alameda County. Established in 1996, the Alliance was created by and for Alameda County residents. The Alliance Board of Governors, staff, and provider network reflect the county’s cultural and linguistic diversity. The Alliance provides health care coverage to more than 120,000 low income children and adults through four programs: Medi-Cal, Healthy Families, Alliance Group Care (commercial plan for In Home Supportive Services workers), and Alliance CompleteCare, a Medicare Advantage Special Needs Plan.
About RAM Technologies:
RAM Technologies is a leading developer of enterprise healthcare administrative software solutions. For over 30 years RAM Technologies has led the way in providing software solutions to healthcare organizations serving Commercial, Medicare, Medicaid, Correctional Health, and Federal Employee Health Programs. HEALTHsuite and eHealthsuite are highly configurable solutions designed to accommodate the complexities of healthcare payers in an ever changing industry. You can contact RAM Technologies by phone at (877) 654-8810 or on the web at www.ramtechnologiesinc.com
Mark A. Wullert
Director of Marketing
RAM Technologies, Inc.
(215) 654-8810 x 255
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About RAM Technologies: