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Average Ratings 0 Ratings

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ease
features
design
support

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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

STARSTrack serves as a cutting-edge analytics platform for healthcare quality, aimed at enhancing performance in various quality rating systems, including Medicare Stars, Marketplace Stars, local Medicaid programs, and Commercial quality rankings, by integrating data, analytics, and actionable insights into a single interface. It provides comprehensive visibility into all elements that impact quality performance through NCQA-certified quality measure calculations, accommodating HEDIS, Pharmacy Quality Alliance (PQA), CMS Operational, Medicaid Core Set, and customizable local measures, while also enabling proactive monitoring of future performance for analysts to concentrate on outcomes instead of tedious manual reporting. Furthermore, STARSTrack generates detailed built-in reports, consolidates star score intelligence across various contracts, and allows users to examine historical performance, current trends, and forecasted results, thereby facilitating strategic enhancement initiatives. By streamlining these processes, it ultimately empowers healthcare organizations to make informed decisions that lead to improved care quality.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

RAM Technologies

Founded

1981

Country

United States

Website

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

Vendor Details

Company Name

Ingenia Health

Founded

2022

Country

United States

Website

ingeniahealth.com/solutions/starstrack/

Product 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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