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What is Newgen Appeals and Grievances?

When addressing the concerns and appeals of members, it is essential to comply with regulatory standards. Our rules-based system facilitates the prioritization and routing of service requests while enhancing resource efficiency. The platform enables the documentation of all decisions, notes, exceptions, and additional details for reference or auditing purposes. By automating your service request workflows, you can not only improve member satisfaction and ensure compliance but also strengthen the resilience of your organization for the future. This strategic approach ultimately leads to a more streamlined operation and better service delivery.

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.

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

Newgen Software

Date Founded

1992

Company Location

United States

Company Website

www.newgensoft.com

Company Facts

Organization Name

RAM Technologies

Date Founded

1981

Company Location

United States

Company Website

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

Categories and Features

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

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