Doctors Healthcare Plans Selects HEALTHsuite® Mercato from RAM Technologies to Administer Medicare Advantage Business
"We did an in-depth evaluation of vendors in the market and found that
"For the past several years we have focused our energies on developing the premier solution for health plans administering Medicare Advantage and Managed Medicaid," said
HEALTHsuite Mercato is a highly adaptable, browser-based solution designed to streamline the administration of government sponsored healthcare programs (Medicare Advantage, Managed Medicaid, Financial Alignment Initiative-Duals, Federal Employee Health Benefits, etc.). HEALTHsuite Mercato provides unparalleled automation across health plan operations including eligibility and enrollment, benefit administration, provider contracting and reimbursement, provider credentialing, medical & utilization management, care management, premium billing, encounter / claims administration, overpayment recovery, customer service, contact management, capitation, subrogation, fulfillment, EDI integration, management & operational reporting and more.
In addition to the enterprise capabilities provided by HEALTHsuite Mercato, RAM's web portal product eHealthsuite™ enables providers and members to interact with the health plan in real time through a secure Internet connection. This self-service functionality, available 24 x 7, lowers administrative costs by reducing the demands on the health plan's customer service personnel.
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