“After evaluating several vendors, it became clear that ikaSystems had the ideal solution for supporting our membership growth without increasing administrative costs. At the same time, we wanted to improve our interactions with prospective members by supplying a highly functional Web portal for enrollment. We felt that ikaSystems delivered a solution that helped prospective members enroll and connect with us easily, efficiently and cost-effectively.”

Beth Monsrud, Senior Vice President and Chief Financial Officer, UCare, Minneapolis, MN

ikaPortals

Move Functionality to the Source

Web portals are more than windows into relevant health plan information. In their best and most vital form, they are doorways through which your brokers and sales team, employers, providers and members can step to take control of the processes that directly affect them.

ikaPortals* create an agile portal platform that moves functionality to the source, replacing the claims system as the health plan’s system of record and returning information to the claims system to process claims quickly and correctly.

In ikaPortals, rule-based functionality and role-based security provide a real-time, HIPAA-compliant environment for users to supply, access and move critical medical and administrative data across distributed networks. Flexible engines and decision-making algorithms automate even the most complex business workflows, including complicated underwriting processes. User-friendly, intuitive interfaces encourage rapid adoption and use. And each ikaPortal can be used alone or in combination with other ikaEnterprise modules to enhance results.

 

Achieve Real Results, Fast

All ikaPortals:

  • Are Web based and accessible from anywhere
     
  • Incorporate single-sign-on and rule- and role-based security
     
  • Are fully HIPAA compliant and accommodate all HIPAA transaction formats
     
  • Are configured by ikaSystems to meet your precise business rules
     
  • Employ user interface style guides that conform to the look and feel of your brand
     
  • Are easily supported by health plan staff through comprehensive administrative tools
     
  • Readily interface with other ikaPortals or any other ikaEnterprise components
     
  • Enable secure messaging and provide links to FAQs and online help

Alleviate Your Specific Pain Points

Select the ikaPortals that address your most pressing business issues, then easily add functionality as your needs change: 

Individual Sales Portal Provides a simple-to-use yet highly functional answer for plans looking to boost sales of their individual products and services via both direct and broker-assisted selling on the Web
 
Group Sales Portal Fully automates the sales-related activities of both the internal health plan sales team and external producers such as brokers, including the live generation of quotes and proposals as well as renewals management
 
Medicare Sales Portal Integrates sales processes for both individual and group Medicare with a complete array of marketing functions, including lead management, campaign and event facilitation, and literature fulfillment
 
Employer Portal Empowers benefit administrators with a range of pre-enrollment, enrollment, post-enrollment and renewals functionality, including the ability to securely add and update member information online, make roster changes (adds and terms), provide benefit summaries and comparison details, request member ID cards and manage the COBRA process
 
Member Portal Allows prospective members to select options and complete the enrollment process online, then becomes a full-function resource for a wide spectrum of member administrative and care management functions
 
Provider Portal Reduces providers' administrative burden by automating processes such as eligibility verification, claims submission, and authorization and referral submission and approval, while it gives physicians proactive access to comparative quality and utilization information so they can ensure the best care for their patients while improving HEDIS measures and pay-for-performance results
 

* Patent pending

 

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