HEALTHsuite

This was designed as a benefit system administration platform and claims processing software for health plans that administer Medicaid/ medicare advantage benefits. It comes as a rules- based auto adjudication software solution to help automate ever process of benefits administration.

The HealthSuite was made with features that automate processes like enrollment/ eligibility, benefit administration, provider contracting/ reimbursement, premium billing, medical management, care management, claims adjudication, customer service and reporting, to mention just a few.

This is deployed either through the cloud, SaaS or web based means and offers training support using documentation, webinars, live online and in person sessions. Users will find this platform full of useful features checklist such as adjustor management, assign claims, case management, claim file documentation, claim resolution tracking as well as TPA management among many others.