ikaBilling

An All-in-One Billing Solution to Optimize Quality and Efficiency

ikaBilling is the most robust, advanced and flexible billing solution  on the market. Invoices can be generated to support any billing model, from cost-plus or administrative services only to premium and other modes at the group, department, division, section and member level. Employers can be billed for all of their groups and voluntary benefits from a single source. Regardless of group size (group or single member) or benefit complexity, the system administers the task with quality and efficiency.

In addition, component-based design enables ikaBilling to easily integrate with existing health plan applications, extending those investments while giving plans more comprehensive functionality.

Easy and Flexible Configuration

• Flexible architecture. ikaBilling fits smoothly into a health plan’s existing billing architecture, which makes it easy to integrate groups, divisions and individual plans for seamless billing processes. 
   
• Unprecedented versatility. Virtually all billing system parameters may be user defined to easily support simple to complex product and plan offerings. ikaBilling also allows the configuration of single or multiple payers that offer a variety of products, plans and riders.
   
• Next-generation technology. ikaBilling employs state-of-the-art component-based technologies to ensure high availability and fault tolerance as well as streamlined integration with existing health plan systems.

Robust Functionality

• End-to-end billing. Premiums can be calculated using different methods, such as Part C, Part D and benchmarks for Medicare plans, family tier rates, member rate and age/sex, aggregate claims cost-plus administrative percentage, or administrative costs per claim. For both commercial and Medicare, invoices can be adjusted manually, and the changes will be generated in real time. Group ID, name and insured/family member details are saved for future reconciliation purposes or detailed bill generation.
   
• Adjustable calculation methodology. Medicare members can have individual invoices created automatically or manually; the invoices include past balances, low-income subsidy (LIS) amounts and late enrollment penalties (LEPs). Retroactive eligibility changes are automatically billed as appropriate, without manual intervention. 
   
• Sophisticated invoice processing. Invoices can be automated using schedules with multiple set-up options, or they can be generated manually. Subsidies/Discounts can be administered for groups and members. Coupons/Vouchers can also be used. Money-back plan features are included — e.g., members/employers can request refunds via the system.
   
• Trouble-free reconciliation. Group ID, name and insured/family member details can be entered with the amount charged for each member for future reconciliation purposes or detailed bill generation. General ledger reporting is available for revenue generated, payments collected and balance due. Payments can be processed using multiple payment methodologies: check, credit card, CMS or Social Security payments.
   
• Vigorous reporting capabilities. On-demand reports with real-time data can be designed to display pertinent summary information and customized to include invoice records, claim statements and summary extractions.
   
• Comprehensive billing and invoice tracking capabilities. Users can adjust payments for generated invoices and regenerate invoices for prior periods. The system can post payments to a specified invoice or a remaining balance amount. All payments are reconciled to the invoices. Payment history and changes are systematically recorded.
   
• Role-based access control. Multiple billing managers can be defined. A billing manager or system administrator can set up users. Other configuration options are also available. Different user roles and tasks can be configured, allowing for multiple user rules.
   
• On-demand payment communication and configuration. ikaBilling delivers daily email notifications and payment details, with updates and links to customer accounts and invoices. Scan and document attachment capabilities are included. ikaBilling can also hold EFT payment information as needed (e.g., an EFT is returned NSF, "hold" future EFTs pending payment so that if payment is not made, the member/group may be termed).

Request a Demo