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Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Description

HEALTHsuite provides a comprehensive benefit management system and claims processing software solution for health plans that administer Medicare Advantage and Medicaid benefits. HEALTHsuite, a rules-based auto adjudication solution, automates all aspects of enrollment / eligibility and benefit administration, provider contracting / reimburse, premium billing, care management, claim adjudication, customer support, reporting, and more.

Description

Miramar: Enroll offers a comprehensive multi-channel intake and verification system, seamlessly integrating with CMS while providing real-time work queue distribution. Having deep operational alignment with health plans, we understand the essential components of an effective Medicare plan administration solution. Our custom-built enterprise platform, Miramar, features dynamic workflows, sophisticated work queue functionalities, SmartWizard tools, automated notifications, and reconciliation rates that surpass the capabilities of most traditional software providers. Effectively managing government-sponsored health plan operations involves excelling in daily management tasks. With our specialized software solutions, you can achieve the primary objective of optimizing processes for improved efficiency and guaranteed compliance. Whether it's data reconciliation, overseeing your sales team, or monitoring compliance, our solutions are designed to integrate smoothly into your existing technology infrastructure, enabling you to activate your teams swiftly and enhance your overall productivity. Additionally, by leveraging our platform, you will be well-equipped to navigate the complexities of Medicare administration while ensuring that your organization remains agile and responsive to changing needs.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours No 
Live Rep (24/7) Yes 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) Yes 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

RAM Technologies

Founded

1981

Country

United States

Website

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

Vendor Details

Company Name

Convey Health Solutions

Founded

2001

Country

United States

Website

conveyhealthsolutions.com/medicare-enrollment-software/

Product Features

Claims Processing

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

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking No 
Customizable Dashboard No 
Dunning Management No 
Invoice History No 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates No 
Remittance Advice No 

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