ikaENTERPRISE
Create a Highly Intelligent and Effective
Organization
The ikaEnterprise product suite is the first complete and entirely
Web-based technology platform for healthcare payers. Combining
self-service transactional portals for sales/brokers, providers,
members, employers and administrative staff with proactive, integrated
care management and next-generation claims systems, ikaEnterprise
automates all key business processes for commercial, Medicare and
Medicaid lines of business.
Change with Confidence
Change is necessary but not always easy. ikaEnterprise reduces the risk
and increases the return using a combination of leading-edge
technologies and true client collaboration:
- A complete, collaborative transactional platform: Pushing
functionality to the source not only enhances the effectiveness and
satisfaction of sales/brokers, members, employers and providers but
also replaces the claims system as the health plan’s system of record,
dramatically reducing administrative costs while increasing transaction
speed.
- Streamlined workflow and integration: ikaEnterprise modules can
replace or easily integrate with existing systems. Every process is
reduced to the fewest number of “touches” to improve accuracy,
efficiency and turnaround time.
- Swift deployment and time to value: Agile, modular technology and
smart, experienced people result in implementations that take months,
not years. With ikaEnterprise, you can innovate at your own pace, and
create your ideal solution.
Build Your Own Solution
ikaEnterprise consists of the following modules, which can be deployed
in any combination:
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ikaPortals
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Standalone, self-service Web portals for:
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ikaMedicareGateway
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Instant eligibility queries against CMS’ MARx
database and automated enrollment, membership and payment
reconciliation |
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ikaMM
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Integrated medical intelligence and management solutions to
proactively measure and improve quality, utilization, satisfaction and
regulatory reporting |
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ikaClaims
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A highly configurable, rule- and role-based core claims
processing and management solution to maximize efficiency and
transparency
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