About HEALTHsuite Advantage
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.
Key benefits of HEALTHsuite Advantage
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.
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Total features of HEALTHsuite Advantage: 35
- Adjustor Management
- Assignment Management
- Benefits Management
- Billing & Invoicing
- COBRA Administration
- Case Management
- Certification & Licensing
- Claims Management
- Claims Tracking
- Client Portal
- Co-Pay & Deductible Tracking
- Compliance Management
- Credential Management
- Customer Management
- Data Verification
- Disability Insurance Administration
- Electronic Claims
- Employee Benefits Administration
- FMLA Administration
- Forms Management
- HIPAA Compliant
- Health Insurance Administration
- Life Insurance Administration
- Online Benefits Enrollment
- Paper-Based Claims
- Payor Management
- Policy Processing
- Provider Management
- Referral Tracking
- Reimbursement Management
- Retirement Plan Management
- Rules-Based Workflow
- Workflow Management