HEALTHsuite Advantage™Fully integrated SaaS and BPaaS solutions for Medicare Advantage and Special Needs plans

Administering Medicare Advantage and Special Needs plans presents significant challenges for health plans. Key considerations include regulatory compliance, systems integration, data security, accurate claims processing, and cost management.

RAM Technologies is the sole vendor exclusively dedicated to providing software and services for health plans that administer Medicare Advantage and Special Needs plans. HEALTHsuite Advantage provides essential capabilities for effective plan administration and seamless bi-directional data exchange with CMS and state agencies. It features the most comprehensive suite of fully integrated modules, is available in SaaS and BPaaS options, and includes eHealthsuite, our self-service portal for members and staff.

A feature-rich integrated system for Medicare Advantage and Special Needs plans.

RAM Technologies’ philosophy offers a simple, streamlined approach to market entry, eliminating the complexities and challenges of dealing with multiple vendors and disparate solutions that weren’t designed to integrate seamlessly.

HEALTHsuite Advantage is a fully integrated suite of modules offering an unparalleled solution for administering Medicare Advantage and Special Needs Plans.

From fully automated enrollment capabilities to encounter reporting and everything in between, HEALTHsuite Advantage provides a comprehensive, seamless solution. Some examples of modules available include:

Plan, Product and Benefit Administration Software
Enrollment, Billing and Reconciliation
Eligibility Management
Provider Data Management / Credentialing
Provider Contracting and Reimbursement
Medical / Utilization Management (Authorizations / Pre-Certifications / Referrals)
Encounter Processing / Claims Processing Software / Auto Adjudication Software / Overpayment Recovery / Subrogation
Claim Editing / Bundling and Cost Containment
Customer Service / Contact Management / Service Request Management
EDI Gateway / Trading Partner Management
Capitation
Letters / Correspondence & Fulfillment
Medicare Advantage / CMS Integration Pack
Medicaid / State Integration Packs
Workload Automation / Centralized Work Queue
Management and Operational Reporting
System Administration & Security

Our proven implementation methodology delivers a 100% on-time go-live rate.

HEALTHsuite Advantage comes pre-configured, which reduces your staff’s workload and delivers a faster, more accurate implementation than any other solution in the industry. With a 100% on-time go-live rate, your transition will be seamless and stress-free, allowing you to focus on what matters most: your members.

The RAM Technologies implementation team will customize the solution to meet your specific needs, all at a fixed price with guaranteed timelines and configuration. You’ll know exactly what to expect as well as the cost.

HEALTHsuite Advantage deploys in under 60 days, providing all the functionality needed to administer Medicare Advantage and Special Needs plans. Our implementation team customizes our pre-configured solution to meet your specific needs, all at a fixed price with guaranteed timelines and configurations.

RAM Technologies’ approach to deploying and implementing our software and services has established us as the leading vendor for government-sponsored healthcare plans. Our methodology minimizes implementation risks, shortens timeframes, reduces costs and enhances staff efficiency.

BPaaS for Medicare Advantage and Special Needs

Looking for interim or long-term operational support? Our BPaaS solution saves time and cuts administrative costs while maintaining high-quality service.

eHealthsuite Portals

Our member and provider portals deliver comprehensive self-service capabilities and utilize the same database as HEALTHsuite Advantage, ensuring real-time access to information while optimizing both time and resources.

Discover how RAM Technologies can simplify your success

Are you facing challenges in your operations? Schedule a demo with us today and see how HEALTHsuite Advantage can drive your success.

REQUEST A DEMO

Ready to learn more? Request a demo today.

REQUEST A DEMO

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275 Commerce Drive, Suite 100
Fort Washington, PA 19034 USA
1-877-654-8810

Join our mailing list.

Get Medicare Advantage insights and updates from RAM Technologies delivered right to your inbox.

275 Commerce Drive, Suite 100
Fort Washington, PA 19034 USA
1-877-654-8810