You don’t need to “reinvent the wheel” and spend millions of dollars and many years to develop e-commerce solutions for insurance and financial services. We’ve already done it! Click on the products below for more information.
iEnterprise
is an end-to-end system that utilizes both ikaPortals
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 iClaims 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.
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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.
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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.
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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.
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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.
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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.
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iClaims
System includes over thirteen comprehensive modules
including EDI–PAYER, BENEFITS, PROVIDER, MEMBERSHIP,
CLAIMS, AUTHORIZATION, REBUNDLER, CODE MAINTENANCE,
BILLING/REINSURANCE, PAYMENT, NOTEBOOK, DATA EXCHANGE,
and CALL CENTER. iClaims also provides a comprehensive
physician profiling system that defines the total
health plan’s quality versus the performance
of each individual primary care physician. This
form of quality profiling allows statistical analyses
for comparison with the financial performance analyses
of providers, giving plans the ability to establish
tiers of providers that can impact marketing and
pricing for healthcare managers. ikaBiz
has integrated its comprehensive Reporting and Practice
Pattern Analysis system into the iClaims
administration system to provide healthcare managers
and their operational personnel with rapidly deployable
actuarial tools that monitor the normalized cost
of care and utilization patterns of all providers.
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2.iBrokerage
An enterprise product for Insurance Brokerage Firms
