HEALTHsuite

HEALTHsuite

RAM Technologies
PlanXpand

PlanXpand

Acero Health 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

PlanXpand™ is Acero’s proprietary transaction processing engine, one that powers each of our products for health benefits administrators. Leveraging this engine, clients may choose to implement Acero’s products concurrently or incrementally. In addition to selecting one of our standard products, administrators also may choose to utilize PlanXpand™ to develop a custom solution to extend existing system capabilities. Acero’s unique, integrated solutions feature Service-Oriented Architecture, allowing health benefits administrators and insurers to add features and functions to existing adjudication platforms. At the same time, our sophisticated design and engineering enables real-time adjudication of every type of claim, all in direct interaction with the core claims system, resulting in more accurate processing, more satisfied customers and less need for claims adjustments.

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

Platforms Supported

Windows 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

Audience

Helathcare organizations and companies seeking solution to improve their operations

Audience

Companies searching for a solution to offer products that their customers value

Support

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

Support

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

API

Offers API Not Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

Pricing

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

Pricing

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

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

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

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported

Training

Documentation Not Supported
Webinars Supported
Live Online Not Supported
In Person Not Supported

Company Information

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

Company Information

Acero Health Technologies
United States
acerohealth.com

Alternatives

Virtual Benefits Administrator (VBA)

Virtual Benefits Administrator (VBA)

Virtual Benefits Administrator

Alternatives

PLEXIS Payer Platforms

PLEXIS Payer Platforms

PLEXIS Healthcare Systems
Veritable

Veritable

314e Corporation
HEALTHsuite

HEALTHsuite

RAM Technologies
PlanXpand

PlanXpand

Acero Health Technologies
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
QuickCap

QuickCap

MedVision
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health

Categories

Categories

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

Claims Processing Features

Adjustor Management Not Supported
Case Management Not Supported
Claim Resolution Tracking Not Supported
Co-Pay & Deductible Tracking Not Supported
Compliance Management Not Supported
Customer Management Not Supported
Electronic Claims Not Supported
Forms Management Not Supported
Paper-Based Claims Not Supported
Payor Management Not Supported
Policy Administration Not Supported

Medical Billing Features

Claims Processing Not Supported
Claims Scrubbing Not Supported
Code & Charge Entry Not Supported
Compliance Tracking Not Supported
Customizable Dashboard Not Supported
Dunning Management Not Supported
Invoice History Not Supported
Patient Eligibility Checks Not Supported
Practice Management Not Supported
Quotes/Estimates Not Supported
Remittance Advice Not Supported

Integrations

No info available.

Integrations

No info available.
Claim HEALTHsuite and update features and information
Claim HEALTHsuite and update features and information
Claim PlanXpand and update features and information
Claim PlanXpand and update features and information