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July 04, 2015 6:45 AM ET

Health Care Technology

Company Overview of ikaSystems Corporation

Company Overview

ikaSystems Corporation provides cloud-based business process and automation solutions for commercial, Medicare, Medicaid, health insurers, and accountable care organizations in the United States. It offers ikaClaims, a claims adjudication and management platform; ikaEnterpriseService, an integrated call center solution; and ikaBilling, a billing solution. The company also provides ikaMedicareGateway, an enrollment and reconciliation solution; ikaMedicareGateway Fundamentals, an enrollment and reconciliation solution for health plans; Consumer Web Portal, an add-on module to ikaMedicareGateway that streamlines the online enrollment process; and Payment Reconciliation, an add-on module to ikaM...

134 Turnpike Road

Southborough, MA 01772

United States

Founded in 1999





Key Executives for ikaSystems Corporation

Chief Executive Officer, President and Director
Executive Chairman
Age: 61
Chief Financial Officer
Chief Technology Officer and Chief Engineer
Senior Vice President of Business & Medical Intelligence
Compensation as of Fiscal Year 2015.

ikaSystems Corporation Key Developments

SCAN Health Plan Completes Implementation of ikaSystems’ Solutions to Transform Business Processes

ikaSystems Corporation announced that SCAN Health Plan has implemented the broad suite of ikaSystems solutions to meet several key business goals and to provide a best-in-class member experience. As a Medicare Advantage plan founded to serve seniors, SCAN sought a more member-centric, efficient, and cost effective solution to better support both its current and future business. The organization began an intensive search for an ICD-10-ready solution to replace its legacy platform that could integrate data for eligibility, providers and benefits into a single source of truth. ikaSystems was selected for its innovative cloud-based offering that could fully support SCANâ s mission and vision for the future. SCAN implemented a number of ikaSystems modules that have transformed claims and billing processes, correspondence, payment reconciliation, customer service and more. With its new end-to-end integration across business processes, the organization expects to achieve substantial improvements in operational efficiency.

Community Health Plan of Washington Selects Dell Services and ikaSystems Solutions for Community Health Plan of Washington

Community Health Plan of Washington has selected Dell Services and ikaSystems to position the plan to grow in response to federal healthcare reform initiatives. Under the agreement, Dell, with ikaSystems' support, will implement the ikaSystems administrative platform on a Software-as-a-Service (SaaS) model, including the following modules: ikaClaims, ikaEnterpriseService, ikaMedicareGateway, ikaBilling, Provider Portal and Member Portal. Dell will also provide business process outsourcing and IT services that include data entry, mailroom services, claims processing, configuration services, and premium billing. The services and solutions will streamline CHPW's administrative processes for its Medicaid and Medicare lines of business, enabling the plan to effectively grow its membership and lower operational costs. The scalability and flexibility of the solution also will position CHPW for success as the post-reform market evolves.

Affinity Health Plan Selects Dell Services and ikaSystems to Power its Business on the New York State of Health

Affinity Health Plan has selected Dell Services and ikaSystems to connect to the New York State of Health -- Health Plan Marketplace and assist in the administration of the new Exchange business line. The services and solution will automate and streamline Affinity's administrative processes on the Health Plan Marketplace to enable the plan to successfully participate in the Exchange. Affinity will utilize Dell's BPO services with the following ikaSystems' solutions to automate and streamline administrative processes associated with the exchange business, improving agility, accuracy and compliance: ikaExchange; ikaClaims; ikaEnterpriseService; ikaBilling; and ikaPortals.

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