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What is HEALTHsuite?

HEALTHsuite offers an all-encompassing benefit management system along with claims processing software tailored for health plans that oversee Medicare Advantage and Medicaid benefits. As a rules-driven auto adjudication solution, HEALTHsuite streamlines every facet of enrollment and eligibility, benefit management, provider contracting and reimbursement, premium billing, care coordination, claim adjudication, customer service, and reporting, among other functions. By integrating these processes, HEALTHsuite enhances efficiency and accuracy for health plan administrators. This comprehensive approach ensures that all stakeholders can manage their responsibilities with greater ease and precision.

What is BrokerEngage?

Streamline the enrollment process by removing unnecessary double redirects through a cohesive platform that verifies Special Enrollment Period (SEP) statuses, addresses intricate eligibility concerns, and enables the reporting of life changes without having to visit ‘healthcare.gov’. Our EDE platform leverages robust Application Programming Interfaces (APIs) to facilitate efficient data transfer with the Federally-Facilitated Exchange, leading to faster submissions, eligibility evaluations, and renewals. These APIs also quickly calculate applicable cost-sharing reductions and premium tax credits. In addition, the Medigap Filters feature empowers users to effortlessly quote, compare, and add optional riders for Medigap plans directly within BrokerEngage, thus avoiding the inconvenience of navigating multiple carrier portals. Furthermore, you can conveniently pinpoint plans that cover your clients' essential prescription medications and healthcare providers, ensuring that their coverage meets all necessary requirements. This comprehensive strategy not only simplifies the entire enrollment experience but also significantly improves user satisfaction and engagement throughout the process. Ultimately, this unified platform fosters a more seamless interaction for both brokers and clients alike.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

RAM Technologies

Date Founded

1981

Company Location

United States

Company Website

ramtechnologiesinc.com/solutions-services/healthsuite-advantage/

Company Facts

Organization Name

Benefitalign

Date Founded

2003

Company Location

United States

Company Website

www.benefitalign.com

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Categories and Features

Insurance Agency

Claims Management
Commission Management
Contact Management
Document Management
Insurance Rating
Life & Health
Policy Management
Property & Casualty
Quote Management

Insurance Policy

Cancellation Tracking
Claims Tracking
Policy Generation
Policy Issuance
Policy Processing
Quotes / Estimates
Rating Engine
Reinstatement Tracking
Reinsurance Administration
Renewal Management
Underwriting Management

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