CORE ADMINISTRATION SOLUTIONS
Operational excellence and high ROI.
Every health plan has a different set of needs that drive business decisions. These differences are apparent in the unique requirements each plan has in the most common processes, such as claims adjudication, customer service, billing, and network management.
ikaSystems solutions automate and streamline these processes with flexible, readily configurable systems, driving operational and administrative efficiencies that improve agility and compliance, lower total cost of ownership, accelerate speed to market, and increase accuracy.
An innovative claims adjudication and management platform that lowers total cost of ownership for any line of business—commercial, Medicare, Medicaid, or ACO—in one highly streamlined, high-performance system.
An integrated call center solution that gives constituent-facing service representatives the tools and information they need to provide exceptional member service.
An advanced and flexible billing solution that supports any billing model, including cost-plus or administrative services-only; premium and other modes at the group, department, division, section, and member levels; and multi-party split billing.
Portal solutions that enable you to give employers, members, and providers control over data and processes that directly affect them in a real-time, HIPAA-compliant environment.