HEALTHsuite Mercato Pricing, Features, Reviews & Comparison of Alternatives

HEALTHsuite Mercato

Healthcare payer software and services

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HEALTHsuite Mercato overview

HEALTHsuite Mercato is a health payers administrative platform that was designed to simplify Medicare and Medicaid healthcare administration. The software is fully integrated, highly flexible and provides a rules-based, plan-configurable automation system for every business need.

HEALTHsuite Mercato’s user-friendly interface improves the logical flow between user and system, and its design is based on HIPAA standards. HEALTHsuite Mercato allows users to streamline every aspect of Medicaid administration, including member enrollment, recipient categories, PCP auto assignment, individual beneficiaries, and individual Medicaid cases.

When it comes to Medicare administration, users are able to focus less on administration and compliance and focus more on member care. HEALTHsuite Mercato offers CMS application, data verification, revenue reconciliation, various fee schedule files and more.

HEALTHsuite Mercato also allows users to streamline the Medicaid financial alignment initiative (FAI) program. The solution makes dual eligible beneficiaries enrollment possible with the integrated care system. HEALTHsuite Mercato also supports diverse open provider networks, administers long term services, and coordinates medical and non-medical service.
www.ramtechnologiesinc.com

Pricing

Value for money
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Devices

Business size

S
M
L

Markets

United States

Supported languages

English
HEALTHsuite Mercato screenshot: HEALTHsuite Mercato is available as an on-site solution, as a Software-as-a-Service (Cloud), or as a comprehensive technology and services offering (BPO).

HEALTHsuite Mercato reviews

There are currently no reviews of HEALTHsuite Mercato.
 

HEALTHsuite Mercato pricing

Contact RAM Technologies for detailed pricing.

HEALTHsuite Mercato features

API (333 other apps)
Activity Dashboard (266 other apps)
Activity Tracking (163 other apps)
Applicant Tracking (204 other apps)
Automatic Notifications (266 other apps)
Automatic Reminders (176 other apps)
Compliance Management (148 other apps)
Customizable Branding (199 other apps)
Customizable Reporting (196 other apps)
Data Import/Export (192 other apps)
Employee Management (234 other apps)
Employee Onboarding (148 other apps)
Employee Portal (167 other apps)
Employee Self Service (178 other apps)
Real Time Reporting (160 other apps)
Recruiting Management (165 other apps)
Reporting & Statistics (244 other apps)
Third Party Integration (200 other apps)
Time & Attendance Tracking (156 other apps)
Time Off Requests (143 other apps)

Additional information for HEALTHsuite Mercato

Key features of HEALTHsuite Mercato

  • Member management
  • Group administration
  • Eligibility / enrollment
  • Benefit administration
  • Premium billing
  • Network management
  • Provider contracting
  • Provider credentialing
  • Provider reimbursement
  • Automated repricing
  • UM & med. management
  • Referrals
  • Authorizations
  • Pre-certifications
  • Care management
  • Claims adjudication
  • Encounter processing
  • Capitation
  • Subrogation
  • Overpayment recovery
  • Customer service
  • Fulfillment
  • Data warehouse
  • EDI interfaces
  • Web portals
  • HIPAA compliance
  • Medicaid administration
  • Enrollment of Medicaid members
  • Verify data
  • PCP auto assignment
  • Supports individual beneficiaries
  • Correspondence
  • Cost containment tools
  • CMS application / interface processing
  • CMS letters, ID cards and fulfillment packages
  • Multi-cultural / Multi language
  • Rules based processing
  • Automated workflow
  • Dual eligible processing
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Benefits

HEALTHsuite Mercato's automated workflow feature helps to maximize employee productivity with flexible rules-based processing.

The software provides full electronic data interchange (EDI) capabilities, and integration with trading partners and employers.

With HEALTHsuite Mercato, users are able to manage care teams, as well as coordinate medical and non-medical services.

The solution helps users to effectively streamline benefits administration for Medicare and Medicaid dual eligible recipients.

HEALTHsuite Mercato offers cost containment tools and the integration of prospective payment systems.