SKYGEN’s Integrated Online Eyewear Benefits solution reduces the cost of vision benefits delivery and powers your program with integrated vision claims management. It helps payers, providers, and members connect online, in real time, to manage vision care at every level. The solution creates efficiencies and improved experiences for providers and members while reducing delays and administrative costs for payers.

Features

• Automated Vision Order and Claim Management:
  • Online material ordering and fulfillment process for providers to manage orders in real time
  • Providers have flexibility in lab selection for material orders
  • Material orders are automatically integrated into the SKYGEN Enterprise System to complete the claims process
  • Real-time access to manage material order details
• Advanced Vision Analytics:
  • Manage vision benefits and lab orders in real time with advanced analytics services
  • Customizable, on-demand reports
  • Complete line of sight into your vision program, including utilization, order status, turnaround times, and payment trends
• Self-Service Provider Portal:
  • Capture self-reported information throughout the provider data life cycle
  • Manage credentialing, contracts, member benefit verification, authorizations, and claims online
• Member Portal:
  • Simple and convenient digital engagement for members via smartphone, mobile device, or personal computer
• Automated Claims Processing:
  • Efficiently process claims without manual intervention
  • Built-in system edits automatically process clean claims with no human interaction

Benefits

• Reduces the cost of vision benefits delivery for payers
• Improves provider and member experiences with real-time, online management
• Reduces delays and administrative costs for payers
• Provides flexibility and efficiency in material ordering and fulfillment
• Offers advanced analytics and reporting for complete program visibility
• Enables providers to manage all aspects of their relationship online
• Empowers members with convenient digital access to their vision plan