SKYGEN USA Enterprise Technology

SKYGEN USA offers the leading integrated Software as a Service (SaaS) Enterprise System and Portal Solutions for commercial and government payers across medical, dental, vision and specialty lines of business.

SKYGENUSA Powering Healthcare for the Digital Age

Payers choose SKYGEN USA as their transformational technology partner because we not only offer the peace of mind they need to drive the highest levels of automation and measurable process efficiencies, but also help improve access to quality care, and engage members and providers towards better health and improve the overall healthcare experience.

Comprised of a relational database with more than 40 modules, each designed for a specific benefit administration process, the core administrative system highly automates payer business administration, flexibly supports ongoing regulatory requirements, and aligns with industry standards. The Enterprise System is continuously advanced through input, design, and testing from SKYGEN USA’s Benefit Administration outsourced business unit and external client partners. As a result, our platform exceeds industry standards for quality, with error-free rates of 97% measured over a 12-month study. Our Enterprise System and integrated Portal Solutions help payers advance their business beyond legacy systems, positioning them to efficiently grow in today’s market and compete in the future.

ENTERPRISE PLATFORM KEY HIGHLIGHTS

  • Line of business capabilities for medical, dental, vision, and specialty lines of business
  • Automated member enrollment file processing
  • Provider network management and multiple payment models
  • Healthcare data analysis, real-time executive dashboards, and built-in standard reports
  • Comprehensive, end-to-end provider data management supported by self-reported data from provider portal
  • Continuous claim processing and daily payments
  • Instant online claim estimator
  • Instant online EOBs
  • Self-service clinical guidelines
  • Flexible plans and stacked networks
  • Integrated portal solution

Enterprise System for Dental

SKYGEN USA’s Enterprise System for dental helps commercial and government payers gain a competitive advantage for efficient dental administration and provides the tools to facilitate appropriate, high quality dental care for all members.

Learn More

Enterprise System for vision

The Enterprise System for vision provides innovative healthcare software that helps payers bring vision products to market faster, automate vision benefit administration and more efficiently manage high quality eye care programs.

Learn More

Enterprise System for medical

SKYGEN USA’s Enterprise System for commercial and government medical plans automates medical benefit management and supports the full spectrum of payment models, including value-based reimbursement.

Learn More

portal solutions

SKYGEN USA’s Portal Solutions enable payers, providers and members to securely perform self-service administration and collaborate in real-time, driving efficiency, speed, and a better healthcare experience.

Learn More