ikaClaims
A Distinctly Different Approach to Claims Administration
ikaClaims delivers rapid, automated administration of claims for any line of business — group and individual as well as commercial, Medicare and Medicaid — in one highly streamlined, enterprise-class system. ikaSystems has designed ikaClaims with one primary goal in mind: rapid time to value. System features expedite set-up and configuration while quickly delivering higher-than-average auto-adjudication rates. In fact, ikaClaims users typically achieve auto-adjudication rates as high as 90 percent within three months of go-live.
Essential system differentiators include:
- Unparalleled agility. Health plans can rapidly and easily configure even the most granular benefit plans and provider contracts. All system components and business rules can be user-defined, from the very basic to the highly specific.
- Fast, intuitive set-up. Pre-loaded benefit categories, pre-loaded fee schedules and standard/system codes speed incorporation of custom benefit plans and allow quick response to changing market demands. Robust copy functionality eliminates rework and redundancy while it reduces errors, dramatically shortening set-up timeframes.
- Seamless interoperability. User-friendly Web-based access and integration with other Web-based applications (via Web service calls) make it easy to share processes and information internally as well as externally, facilitating key business initiatives such as transparency and collaborative care management.
- Comprehensive HIPAA compliance. ikaClaims accepts and produces all HIPAA-compliant transaction code sets (270, 271, 276, 277, 278, 820, 834, 835, 837). In addition, multiple security levels are possible using user-defined role- and rule-based access configurability.
- Exceptional accuracy. With high auto-adjudication rates, ikaClaims virtually eliminates the need for manual intervention, resulting in consistent, accurate claims payments.
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