“ikaSystems’ unique modular technology has been an excellent fit for UPMC, significantly lowering the risk of IT deployment by enabling us to address our most pressing business needs in order of priority. ikaSystems has never disappointed.”

Ed McCallister, CIO, UPMC Health Plan, Pittsburgh, PA

ikaEnterprise

One Collaborative Platform for All Business Lines

ikaEnterprise is an entirely new technology paradigm that allows healthcare payers to transform the way they do business. A complete, Web-based, fully integrated technology platform for individual, employer-sponsored, Medicare and Medicaid business lines, ikaEnterprise helps organizations thrive, even in today’s challenging economic environment.

Gain Tailored Market Functionality with Single-System Efficiency

ikaEnterprise automates all key processes in the payer business cycle, for any line of business. ikaEnterprise combines business intelligence and transactional systems for sales automation, core claims adjudication, care management and proactive quality measurement and reporting with self-service portals for sales, administrative, employer, member and provider use. The result is an end-to-end, fully Web-deployed solution for process automation and intelligence management.

Where appropriate, modules of ikaEnterprise are tailored to meet the unique needs of individual, employer-sponsored, Medicare and Medicaid business lines, based on our deep understanding of and experience with those markets. Our solutions are not “one size fits all.”

At the same time, ikaEnterprise allows organizations to manage multiple lines of business with one enterprise-level system, minimizing administrative and IT inefficiencies and promoting the convergence of health information to better manage the total health of each member.

Change with Confidence

ikaEnterprise reduces the risk of implementing new technology and increases the return using a combination of leading-edge technologies and true client collaboration:

  • A Web-deployed, enterprise-level transactional platform: Creating an end-to-end Web environment and pushing functionality to the source not only enhances the effectiveness and satisfaction of the sales team, members, employers and providers but also replaces the claims system as the health plan’s system of record, dramatically reducing administrative costs while increasing transaction speed.
     
  • Streamlined workflow and integration: ikaEnterprise modules can replace or easily integrate with existing systems. Every process is reduced to the fewest number of “touches” to improve accuracy, efficiency and turnaround time.
     
  • Swift time to value: The modularity and configurability of our technology enable us to efficiently and effectively tailor a solution that is specific to each client yet requires little to no custom programming. Agile technology and smart, experienced people result in implementations that take months, not years.
     
  • Modular deployment: ikaEnterprise modules can be implemented one at a time or all at once, helping health plans better manage IT expenses and develop their confidence in ikaSystems as a technology partner while delivering increasing value. With ikaEnterprise, you can innovate at your own pace, and create your ideal solution.
     
  • Transparency and collaboration: The Web is an ideal environment for information sharing and ensures that all constituents are using the same information, creating true openness and collaboration in all functions, from prospecting to payment and care management.

For a complete list of ikaEnterprise modules, please access All Solutions. For an overview of our offerings tailored for Individual, Employer Sponsored, Medicare and Medicaid markets, please click on the corresponding links.

 

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