ikaPORTALS
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
By automating and connecting processes and information, you can:
- Distribute workflow outside the organization
- Add functionality at your own pace
- Reduce administrative costs by as much as 40 percent
- Reduce medical care expenses through timely reminders and triggers
- Improve quality of care
- Increase revenue by expanding sales channels
- Minimize IT risks and investments
- Grow your membership without adding staff
- Retain members and improve their satisfaction
- Boost your competitive edge
Alleviate Your Specific Pain Points
Select the ikaPortal that addresses your most pressing business issues,
then easily add functionality as your needs change:
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Sales/Broker Portal
|
Delivers complete sales force automation for
commercial and Medicare lines of business (including individual and
family, small and large group), as well as marketing effectiveness
measurement for Medicaid lines of business |
|
Employer Portal
|
Empowers benefit administrators with a broad range of
functions, including online census/claims submissions, roster
management, off-cycle transactions, electronic bill presentment and
payment, and employer reports (e.g., HEDIS, utilization) |
|
Member Portal
|
Allows health plan members to perform administrative
tasks — family information updates, ID card generation,
provider/claims/EOB/deductible status look-up —as well as access an
array of self-care tools ranging from wellness to disease management
and including personal health records |
|
Provider Portal
|
Reduces providers’ administrative burden with online
eligibility verification, authorizations/referrals, point-of-service
claims adjudication, claims submission/correction and claims status/EOP/payment,
as well as proactively supports quality improvement initiatives such as
pay-for-performance (P4P), chronic disease management and prospective
HEDIS compliance |
|
Admin Portal
|
Gives health plan administrative staff the ability to
complete transactions on behalf of external constituents and manage
health plan processes |
* Patent pending
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