HEALTHsuite Advantage was designed to deliver the highest levels of first-pass auto adjudication. This highly flexible claims processing software streamlines benefit administration, provider contracting and reimbursement, allowing for even the most complex benefit plans to be adjudicated accurately, without human intervention. Claims management accuracy and performance is further increased through the use of advanced cost containment and cross-checking tools, ensuring your organization maintains proper payments as well as accountability for all transactions. In addition to the superior levels of first pass adjudication, HEALTHsuite Advantage’s claims processing capabilities feature advanced overpayment recovery and subrogation tools. These capabilities provide tangible cost savings and are fully integrated in the base solution.
For more information on HEALTHsuite Advantage, the premier claims processing software for Medicare Advantage, Special Needs and Managed Medicaid health plans, please call our offices at (877) 654-8810 x 4 or complete the contact form to have a knowledgeable representative follow up with you.
HEALTHsuite Advantage is the premier claims processing software for the administration of Medicare Advantage, Special Needs and Managed Medicaid programs, but we didn’t stop with the best mousetrap. In order to truly make a difference in the market, we knew we needed to reinvent the way the solution is implemented, eliminating unnecessary work efforts and drastically shrinking time to market. Medicare Advantage-in-a-Box features a disruptive implementation methodology, including a pre-configured kernel that supports the administration of ‘Original Medicare’ out of the box, reducing the time and work required to bring a new plan to market, and facilitating the smooth transition for organizations looking to modernize operations for existing lines of business. Medicare Advantage-in-a-Box and HEALTHsuite Advantage have changed the way health plans go to market.
Ready to learn more about how this advanced, claims processing software can increase productivity and control costs? Request a demo today.
Ready to learn more? Request a demo today.