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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

Eliminate unnecessary double redirects to enjoy a seamless enrollment process on a unified platform, allowing you to complete Special Enrollment Period (SEP) verifications, navigate complex eligibility scenarios, and manage life changes without the need to visit ‘healthcare.gov’. Our EDE platform utilizes efficient application-programming interfaces (APIs) to facilitate rapid data transfer with the Federally-Facilitated Exchange, ensuring quicker submissions, eligibility assessments, and renewals. These APIs swiftly compute the relevant cost-sharing reductions and premium tax credits for users. Additionally, the Medigap Filters feature aligns with regulatory requirements, enabling you to quote, compare, and add optional riders for Medigap plans directly within BrokerEngage, eliminating the hassle of searching through various carrier portals. Furthermore, you can easily discover plans for your clients that encompass the healthcare providers and prescription medications they require, making the entire process more convenient and tailored to their needs. This comprehensive approach simplifies the enrollment journey while ensuring compliance and efficiency.

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.

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

Customer Support

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

Types of Training

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

Types of Training

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

Vendor Details

Company Name

Benefitalign

Founded

2003

Country

United States

Website

www.benefitalign.com

Vendor Details

Company Name

RAM Technologies

Founded

1981

Country

United States

Website

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

Product Features

Insurance Agency Management

Claims Management No 
Commission Management No 
Contact Management No 
Document Management No 
Insurance Rating No 
Life & Health No 
Policy Management No 
Property & Casualty No 
Quote Management No 

Insurance Policy

Cancellation Tracking No 
Claims Tracking No 
Policy Generation No 
Policy Issuance Yes 
Policy Processing Yes 
Quotes / Estimates Yes 
Rating Engine Yes 
Reinstatement Tracking No 
Reinsurance Administration No 
Renewal Management Yes 
Underwriting Management No 

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 

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