HEALTHsuite Mercato

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.

Pricing

Starting from
N/A
Pricing options
Free Trial

Devices

Business size

S
M
L

Markets

United States

Supported Languages

English

HEALTHsuite Mercato Pricing

Starting from
N/A
Pricing options
Free Trial

Contact RAM Technologies for detailed pricing.

HEALTHsuite Mercato Features


  • API
  • Activity Dashboard
  • Activity Tracking
  • Applicant Tracking
  • Automatic Notifications
  • Automatic Reminders
  • Customizable Branding
  • Customizable Reporting
  • Data Import/Export
  • Employee Database
  • Employee Management
  • Employee Onboarding
  • Employee Portal
  • Employee Self Service
  • Performance Management
  • Real Time Reporting
  • Recruiting Management
  • Reporting & Statistics
  • Self Service Portal
  • Third Party Integration

Additional information for HEALTHsuite Mercato

Key features of HEALTHsuite Mercato

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

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.

HEALTHsuite Mercato FAQs

Below are some frequently asked questions for HEALTHsuite Mercato.

Q. What type of pricing plans does HEALTHsuite Mercato offer?

HEALTHsuite Mercato offers the following pricing plans:

Free Trial: Not Available

Contact RAM Technologies for detailed pricing.

Q. What are the main features of HEALTHsuite Mercato?

HEALTHsuite Mercato offers the following features:

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

Q. Who are the typical users of HEALTHsuite Mercato?

HEALTHsuite Mercato has the following typical customers:

Large Enterprises, Mid Size Business, Small Business

Q. What languages does HEALTHsuite Mercato support?

HEALTHsuite Mercato supports the following languages:

English

Q. What type of pricing plans does HEALTHsuite Mercato offer?

We do not have any information about what HEALTHsuite Mercato pricing plans

Q. Does HEALTHsuite Mercato support mobile devices?

We do not have any information about what devices HEALTHsuite Mercato supports

Q. What other apps does HEALTHsuite Mercato integrate with?

We do not have any information about what integrations HEALTHsuite Mercato has

Q. What level of support does HEALTHsuite Mercato offer?

HEALTHsuite Mercato offers the following support options:

Forum, Online Support, Phone Support