ikaSystems, a provider of web-based technologies for healthcare payer organizations, has released ikaMedicareGateway, a comprehensive solution for Medicare process automation and intelligence management.
Available through a partnership with Government Works, a contractor with the Centers for Medicare & Medicaid Services (CMS), ikaMedicareGateway allows payers to significantly expedite and increase the accuracy of Medicare application processing, eligibility verification, and enrollment, membership and payment reconciliation through online functionality and real-time access to information from CMS’ MARx database.
A hosted (ASP) solution, ikaMedicareGateway automates Medicare application processing, eligibility verification, and enrollment, membership and payment reconciliation. The process begins with an online application portal, which members, brokers or administrative staff can use to start the enrollment cycle.
Through ikaMedicareGateway, instant eligibility queries and beneficiary look-ups are performed against the MARx database. Responses are immediate, both ensuring the accuracy of the information supplied and pulling data from the database to populate the rest of the application, saving time for administrative staff.
ikaMedicareGateway is a key component of ikaSystems’ comprehensive ikaEnterprise product suite for Medicare, which includes tools that automate the full spectrum of Medicare administrative processes, including marketing and sales management, claims administration, customer service, billing and commissions payment.