Make it simple with our BPaaS solution. We handle it for you, so staff can focus on what matters most—your members.

Not every health plan has the technology, resources, and infrastructure needed to address the daily challenges of launching and managing a Medicare Advantage or Managed Medicaid plan. Our BPaaS solution simplifies plan administration, staffing, and compliance oversight. With our expert staff and advanced technology solutions, we ensure a rewarding experience for both your members and providers.

Flexibility matters.

Whether you need long-term or short-term support, our team is ready to provide expert services tailored to your specific needs. We’ll handle as much or as little as you choose, allowing you to focus on achieving your organization’s mission-critical business objectives. Unlike competitors who focus on larger plans, we specialize in providing tailored support for start-ups and small to mid-sized Medicare Advantage and Managed Medicaid plans.

Why partner with us?

Not all service teams are created equal. Our staff are RAM Technologies employees, never offshore, and are experts in using our HEALTHsuite Advantage technology and eHealthsuite portals. With decades of experience in Medicare Advantage, Managed Medicaid and Special Needs health plans, they understand that we are an extension of your health plan and represent your organization in a friendly, professional manner.

Our focus is to provide smooth administration and add a layer of compliance that you can trust. We customize system configurations to meet your specific plan requirements, and our implementation process is streamlined through pre-configured solution components and a proven methodology refined over the years. All of this translates to proven results and cost savings for you.

These are just some of the ways we can help your health plan:

• Plan, PBP, benefit and provider contract configuration and management
• Enrollment, eligibility and reconciliation management
• Premium billing and payment processing
• Provider data management & demographics
• Claims and encounter processing
• Call center management for members and providers
• Mailroom, EDI and fulfillment services
• Appeals and grievance support
• Compliance and performance oversight
• Member and provider portals
• Technical, reporting and professional services

Please ask our sales team to schedule a call to review our Services Checklist. This will give you a comprehensive view of the functions and activities your plan needs to cover, allowing you to select the services to meet your requirements.