ikaSystems has partnered with Beacon Health Solutions to provide comprehensive BPO services designed to minimize a health plan’s capital investment while lowering ongoing operational costs and reducing the risks associated with Medicare Advantage and Medicaid managed care plan administration.

ikaSystems selected Beacon Health Solutions for its complete turnkey solution and its proven expertise in providing BPO services in the Medicare and Medicaid environments. The core management team has a combined industry experience of nearly 100 years, bringing with it an understanding of a wide array of best practices suited to plans in all stages and requiring any scope of services. In addition, Beacon Health Solutions is already a seasoned veteran in implementing, training and operating on ikaEnterprise.

Because it is configured to offer back-office services in any combination, Beacon Health Solutions allows plans to outsource a single department or the entirety of its administration. The focus is to provide comprehensive client, member and provider account services, including:

• Enrollment and eligibility processing
• Premium billing and reconciliation
• Claims imaging, OCR and processing
• Member and provider services and call center
• Fulfillment for claims processing and premium billing
• Medical management system support and consulting
• Support marketing services
• Compliance with all CMS requirements