HEALTHsuite® Mercato: The Solution of Choice for the Cal MediConnect Dual Eligible Demonstration

RAM Technologies’ administrative solution HEALTHsuite® Mercato is the solution of choice for health plans managing dual eligible programs.
 
 
FORT WASHINGTON, Pa. - Oct. 9, 2013 - PRLog -- HEALTHsuite Mercato, the revolutionary claims management platform from RAM Technologies, Inc., has emerged as the solution of choice for three of the eight health plans participating in the Cal MediConnect program.  HEALTHsuite Mercato provides unparalleled capabilities to streamline the administration of health benefits for the nation’s most vulnerable healthcare population – individuals eligible for both Medicare and Medicaid coverage.

More and more plans participating in the Cal MediConnect program, and dual eligible programs across the country, are selecting HEALTHsuite from RAM Technologies to meet critical functional readiness timelines and the on-going regulatory requirements of the program.  The HEALTHsuite solution coordinates the administrative rigors of Medicare and Medicaid and ensures accurate and timely payments to providers while minimizing operational expenses for health plans.

“HEALTHsuite Mercato is the leading software solution for health plans who administer Medicare Advantage and Medicaid lines of business,” stated Christopher P. Minton, Executive Vice President of RAM Technologies, Inc.  “The administration of health benefits for Dual Eligible beneficiaries is complex; HEALTHsuite simplifies the coordination of Medicare and Medicaid services for this population, allowing our clients to focus on the care of their members.”

HEALTHsuite Mercato is a browser-based solution designed to simplify healthcare administration and is available to health plans as an in-house platform or as a hosted solution in the cloud.  HEALTHsuite Mercato provides unequalled automation across the enterprise including eligibility and enrollment, plan / product and benefit administration, provider contracting and reimbursement, provider credentialing, medical / utilization management, care management, encounter and claim administration, overpayment recovery, customer service and contact management, premium billing, capitation, subrogation, fulfillment, EDI processing, management / operational reporting and more.

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

About RAM Technologies, Inc.

RAM Technologies is a leading provider of enterprise software for the health insurance industry.  For over 32 years RAM Technologies has led the way in the creation of superior software solutions for health plans serving the Medicaid and Medicare markets.  RAM Technologies has been recognized on Inc. Magazine’s List of Fastest Growing Private Companies for the last four years and has been repeatedly featured in the Philadelphia Business Journal’s Lists of Top Technology Employers and Top Software Developers.  To learn more about RAM Technologies call (877) 654-8810 x 4 or visit www.ramtechnologiesinc.com.
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Phone:215-654-8810
Tags:Dual Eligible Demonstration, Medicare, Medicaid, Claims Processing Software
Industry:Health, Insurance
Location:Fort Washington - Pennsylvania - United States
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