One Integrated, Web-Based Solution to Fuel Rapid Growth

The employer-sponsored market is constantly evolving, producing and servicing newer and more complex products. Payers must constantly configure and re-program legacy applications to meet increasing demands for flexibility, operational efficiency and reduced administrative costs. At the same time, they grapple with helping providers deliver to their members more cost-effective and higher quality care and with communicating a clear and compelling value proposition to employers.

Winners in this market must have systems that are innovative, highly configurable and easily implemented to support rapid individual and group product design and marketing; sales, enrollment and billing; and proactive care collaboration between members, providers, purchasers and payers. Such systems must allow health plans to act with speed and agility to maximize the market opportunity while minimizing the risk of a demanding population and complex individual and commercial contracting and compliance requirements.

Create a Highly Intelligent and Effective Organization

ikaEnterprise automates all key processes in the employer-sponsored business cycle, combining 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.

Using our agile, modular technology, payers can create a single intelligent ecosystem — comprising health plan staff, members, employers, providers and brokers — that feeds on the same real-time information and fluidly responds in a way that benefits the ecosystem as a whole.

Build Your Own Solution

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.

For the employer-sponsored market, ikaEnterprise offers solutions in the following areas:

Sales	ikaSales is a comprehensive suite of integrated marketing and sales force automation tools that also encompasses electronic billing and commission payment.
Portals	ikaPortals provide self-service capabilities for sales, employers, members, providers and health plan administrative staff.
Medical Management	ikaMM’s integrated medical intelligence and management solutions proactively measure and act to improve quality, utilization, satisfaction and regulatory reporting.
Claims	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, configurable system.
Customer Service	ikaCustomerService provides the exact level of support that any health plan needs to ensure its customer service function runs smoothly, efficiently and effectively.