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
• Can be implemented in either ASP or licensed modes
• 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:

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
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
Admin Portal	Gives health plan administrative staff an intuitive tool for completing transactions on behalf of external constituents as well as managing business rules and users without the need for vendor support

* Patent pending