ikaMEDICAREGATEWAY
Streamline Medicare Eligibility Verification and
Enrollment/Membership/Payment Reconciliation
Through a unique partnership with Government Works (an ikaGroup
company), a contractor with the Centers for Medicare & Medicaid
Services (CMS), ikaSystems offers ikaMedicareGateway, which conducts
instant eligibility queries against CMS’ MARx database. A hosted (ASP)
solution, ikaMedicareGateway automates Medicare eligibility
verification and enrollment/membership/payment reconciliation, allowing
health plans to grow their Medicare business lines without adding
staff. In addition, plans improve cash flow and member satisfaction
through greater speed and accuracy.
ikaMedicareGateway delivers:
- Instant eligibility queries and beneficiary look-ups against the MARx
database: Responses are immediate.
- Highly efficient online enrollment: Eligibility verification is fully
automated, with integrated data pulling that ensures accuracy and
reduces enrollment application processing time by 80 percent.
- Creation of error-free membership accretion files: Accretion rates of
99.95 percent are achievable, significantly reducing rework and
increasing cash flow by ensuring timely payment.
- Automated enrollment and payment reconciliation: ikaMedicareGateway
users have seen reconciliation time reduced by an estimated 70 percent,
speeding the discovery of discrepancies and missing dollars.
- Comprehensive data warehousing, reporting and efficiency features
(e.g., automatic triggers): ikaMedicareGateway blends all the
components of a highly intelligent system to fully inform health plans
and increase their efficiency.
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