RAM Technologies: Simplifying Administration for Health Insurance Plans

“This same methodology allows our clients to move to new releases of HEALTHsuite in days, as opposed to months or years, saving tremendous resource time and costs.The healthcare insurance industry has always been driven by a consistent need to offer the best health insurance plans at prices that attract customers. Also, in compliance with the Affordable Care Act, these plans are required to spend at least 80 percent of their premium revenues on healthcare and activities that improve the quality of care for their members. RAM Technologies, Inc., a Fort Washington, PA based company, has risen to the top of the field by offering solutions to automate all aspects of the health insurance administrative process. “At RAM, our focus is on fulfilling the requirements of insurance administrators in terms of increasing processing capacity, while reducing total cost of operations,” says Robert A. Tulio, President of RAM Technologies. “We also help satisfy the compliance issues that our clients face.”

Ever since its inception in 1981, RAM has led the way in the creation of superior software solutions for health plans serving Medicaid, Medicare Advantage and Dual Eligible Programs. The company’s flagship solution, HEALTHsuite® Mercato, is an innovative software engine that runs a health plan’s entire book of business. HEALTHsuite’s fully integrated modules provide clients with an end to- end solution that simplifies work for health plan administrators. The modules include: enrollment, eligibility, benefits, contracting, reimbursement, claims adjudication, premium billing, and more. “Beyond the extensive suite of modules, HEALTHsuite may also be customized to accommodate a health plan’s unique business requirements,” remarks Tulio.

RAM’s ability to incorporate new product capabilities, along with integrating client specific functional enhancements into its base product, has proven to be a significant differentiator for the company. “Our development methodology allows us to maintain all product enhancements in a single base code set, enabling clients to activate new and desired custom features in a rules-driven environment,” says Tulio. “This same methodology allows our clients to move to new releases of HEALTHsuite in days, as opposed to months or years, saving tremendous resource time and costs.