iEnterprise

iEnterprise is an end-to-end system that utilizes both iPortals and iClaims Systems in an integrated fashion.

iEnterprise is a highly flexible and dynamic, enterprise-wide, web-based solution designed specifically to replace the paper, faxes, and phone calls that plague most managed care organizations. In the simplest terms, iEnterprise is a series of self-service web-portals integrated with ikaClaims administration and processing system allowing for real-time access and update of information that enables licensed users to maintain full control of transactions across the enterprise. iEnterprise utilizes proprietary breakthrough technology that automates the electronic adjudication of healthcare claims with expert, rules based precision. This automated technology permits claims input (with EDI), adjudication and payment in milliseconds, thereby reducing average claims processing expenditures by up to 80%.

iEnterprise can be deployed in a modular fashion interfacing with existing systems or as a combined deployment that automates the entire organization.

• iPortals
• Sales Portal
  provides the client with more than thirteen functions including Quoting of individual, Small, and Large Group Products, Experience Rating, Proposal Generation, Enrollment Initiation, Renewals, Client/Prospect Management, Commissions Status, Secure Messaging, Licensing, View Account Receivables, Premium History, Customer Service, and Comprehensive Reporting.
• Employer Portal
  empowers the benefit administrators to perform Group Enrollment, Add/Modify/Terminate Members, Plan Benefit Management, COBRA Management, Invoice and Bill Payments, Eligibility Verification, Benefit Limitation Status, Group Claims Reporting, Provider Search, and Customer Service.
• Member Portal  
  allows health plan members to perform the following functions in a self-service environment including Enrollment, Plan Benefit Information, Claim Status, Provider Search, Order ID Cards, Benefit Limitation Status, Eligibility Verification, Customer Service, Update Personal Information, PCP and Pharmacy Changes.
• Provider Portal
  increases the efficiency in the delivery of healthcare by performing the following functions online in real-time including Eligibility Verification, Member Benefit Verification, Preauthorization, Referrals, Claims Submission, Claims Tracking, and utilizing Electronic Medical Records.
• Admin Portal  
  provides the ultimate control over the following departments including but, not limited to Sales, Underwriting, Customer Service, Provider Services, Preauthorization, Referral Services, and Finance. The Carrier Portal provides clients with an unlimited number of hierarchal controls built into the system at every level and department.