RAM Technologies, Inc., a leading developer of software solutions for healthcare payers is pleased to announce that the Health Plan of San Mateo (HPSM) has selected the HEALTHsuite® enterprise administrative application and the eHealthsuite™ web portal to replace a legacy Amisys system. The Health Plan of San Mateo will utilize RAM’s advanced solutions to administer benefits for the Medi-Cal, Medicare Advantage and other at risk populations of San Mateo County.
HPSM serves San Mateo County in providing health care coverage as a County Organized Health System. Benefit plans include: CareAdvantage, a Medicare Advantage Special Needs Plan, Medi-Cal, Healthy Families, Healthy Kids, HealthWorx, and the San Mateo County ACE Program — a partnership with the San Mateo County Health Department and San Mateo Medical Center to provide health coverage for all adult uninsured County residents.
“After a detailed assessment of our information technology systems, and our strategic goals and objectives, we set out to identify the Managed Care Information System that would best meet our needs related to core claims processing and medical management functionality” said Eben Yong, Director of MIS at Health Plan of San Mateo. “We selected HEALTHsuite and RAM Technologies due to their depth and breadth of functionality and their ability to meet our needs.”
HEALTHsuite is an enterprise wide application with fully integrated functionality to automate benefit administration, eligibility/enrollment, provider contracting/reimbursement, medical management, premium billing, claims adjudication, reporting and more. HEALTHsuite provides a comprehensive software application for health plans, benefit administrators and self-insured organizations.
eHealthsuite is a powerful e-Health solution that provides a secure web portal for members, providers, employers and brokers to interact real time with the health plan. The self-service capabilities of eHealthsuite permit users to conduct transactions from their office or home through a secure Internet connection. Plus, eHealthsuite supports real-time adjudication of claims enabling health plans to curtail the expense involved in claims processing.
“We look forward to a long and mutually beneficial relationship with The Health Plan of San Mateo,” said Christopher Minton, Executive Vice President of RAM Technologies. “HEALTHsuite’s enterprise wide functionality and rules-based flexibility will meet their needs today and will adapt to match their changing needs of the future.”
About Health Plan of San Mateo
HPSM (hpsm.org) is a managed care health plan with over 60,000 members that puts better health within reach. They fight to make a difficult process easier, and to improve the quality of life in their community. They also have a vision, that “healthy is for everyone.” And they fight to make that possible.
About RAM Technologies
RAM Technologies is a leading provider of enterprise wide claims management processing systems for healthcare payers. For over 27 years RAM Technologies has been a leading provider of software solutions to healthcare organizations serving the Medicare, Medicaid, Consumer-Direct, Commercial and Federal Health Programs. With the implementation of HEALTHsuite and eHealthsuite, RAM has helped clients streamline operational efficiencies while improving customer service. You can contact RAM Technologies by phone at (877) 654-8810 or on the web.
Frank Austin, HPSM Director of Marketing
P: (650) 616-2020