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Dental

The Enterprise System for dental helps payers advance every aspect of dental benefit management, from claims payment, premium billing, and utilization management to regulatory compliance, fraud detection, and member and provider service.

SKYGENUSA Powering Healthcare for the Digital Age

SKYGEN USA continues to lead dental commercial and government benefit administration with technology innovation. The Enterprise System for dental is first-to-market with capabilities that drive cost reduction and competitive advantage, including:

  • End-to-end claim processing from intake to payment for continuous automation
  • Instant online claim estimator for provider peace of mind
  • Instant online EOBs to support immediate payments from members
  • Provider profiling reports and analytics to identify inefficient provider practices
  • Flexible plans and stacked networks
  • Integrated benefit portals for providers and members to securely perform self-service administration

 

Enterprise System for Dental Primary Capabilities

  • Product and benefit plan design configuration and price management
  • Member eligibility determination and enrollment
  • Member engagement management and servicing
  • Premium invoicing, collections, and funds reconciliation and distribution
  • Claims editing, adjudication, processing, and reconciliation
  • Provider management and payment
  • Healthcare data analysis, real-time executive dashboards, and built-in standard reports
  • Regulatory and compliance support