HEALTHsuite Advantage was designed with flexibility in mind and provides the highest levels of first pass adjudication in the administration of Medicare Advantage, Managed Medicaid and Special Needs programs. Health plans administering these lines of business (MA, MD and SNP) benefit from the robust adaptability, realizing auto adjudication rates up to and above 90%. This comprehensive auto adjudication software automates all aspects of administration, from enrollment to encounter reporting. These features provide tangible cost savings in a highly competitive market.
HEALTHsuite Advantage ships with a pre-configured kernel, ready to administer Original Medicare benefits upon installation. This pre-configured platform greatly reduces the time and effort required to configure this software to automate your MA / MD / SNP program(s). This innovative offering provides the most efficient path to operational excellence for health plans administering Medicare Advantage, Managed Medicaid and Special Needs plans.
If you would like more information on how HEALTHsuite Advantage can improve your auto adjudication rates and lower your costs, contact us today. We look forward to working with you as you evaluate the best auto adjudication software for your Medicare Advantage, Managed Medicaid and Special Needs programs.