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Benefits Administration

SKYGEN USA offers a comprehensive and flexible mix of outsourced benefits administration solutions, powered by our multi-line of business Enterprise System, to drive best-in-class operational results for our commercial and government payers. Our technology-enabled benefits administration solutions give clients peace of mind around operational and service excellence, and enable them to respond more rapidly to market changes, efficiently scale membership, support compliance, and more effectively control costs.

SKYGENUSA Powering Healthcare for the Digital Age

As a proven Business Processing as a Service (BPaaS) solutions provider, we manage benefit administration for over 10 million members, offering hands-on program benefit operations management, highly experienced staff trained across dental, vision and medical lines of business, enterprise-grade network security, and real-time operational performance oversight.

dental ADMINISTRATION

SKYGEN USA leads the market in technology-enabled solutions for commercial and government dental benefit management. At the heart of our Dental Administration Service is the Enterprise System for dental, which is designed to bring automation to every aspect of dental benefit administration. Combined with our highly skilled people, SKYGEN USA powers some of the most efficient dental payers in the country, offering measurable results while also delivering exceptional levels of service.

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vision ADMINISTRATION

SKYGEN USA helps payers manage and grow their vision programs more efficiently by leveraging a single, reliable vision benefits administration partner. Our end-to-end Vision Administration Service is powered by SKYGEN USA’s Enterprise System for vision and skilled teams, and delivers complete vision program management including enrollment, claims processing, customer service and more. Whether standalone or combined with other lines of business, our Vision Administration Service offers a scalable operation with reliable performance, as well as solutions to better engage stakeholders and positively impact the quality and accessibility of vision care.

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medicaid ADMINISTRATION

SKYGEN USA delivers the one of the industry’s most efficient and integrated solutions for Medicaid benefits programs for payers that offer dental, vision and medical benefits. We partner with MCOs and state agencies to help them achieve unprecedented levels of automation, enabling them to allocate more dollars to providing better access and quality care to the underserved. Our benefit administration services not only help our partners achieve their cost and efficiency goals, but also enable them to proactively manage regulatory compliance, better engage with members and providers, and increase access to high quality care.

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value-based contract ADMINISTRATION

Our affiliate company, Holista, provides value-based solutions for physical and occupational therapy lines of business. We partner with them to help clients integrate key value-based attributes in their healthcare programs, such as an episodes of care approach, shared decision making, redesigned reimbursement models, gain sharing, and smart consumerism initiatives. Our value-based contracting solutions help facilitate the alignment of all key stakeholders, streamline administration and improve the overall service experience.

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