Reimagine Provider Collaboration with Integrated, Automated Workflows

Every day, health insurers lose hours—and dollars—due to disconnected provider systems and manual processes. Delays, miscommunication, and manual processes are more than operational annoyances. They represent real business risk. 

What if those losses could be stopped with a single shift in how workflows are managed? Integrated, automated workflows aren’t just a technology upgrade. They’re a way to reclaim time, reduce errors, and transform how your teams collaborate with vision providers.

SKYGEN Frames the Future with an All-In-One Vision Platform
Complexity in vision benefits management is growing as the provider pool expands and regulations continue to evolve. Members’ expectations are growing too, putting pressure on payers to deliver a wider range of plan options and seamless service faster than ever. SKYGEN’s integrated vision platform helps payers manage vision plan complexity by connecting their teams with providers and members online in real-time to manage vision care at every level. The outcome is reduced operational friction, costs and risk. 

Key capabilities within SKYGEN’s single-source vision solution includes:

• Automated materials ordering and management: Providers can order faster and more efficiently online. They have flexibility in the lab they select to fulfill their material orders.
• Automated, end-to-end claims management: SKYGEN integrates claims processing with materials ordering, and enables real-time data flow for benefits eligibility verification, pre-claim estimate reports, authorizations management, and tracking of payments and remittances. 
• Smart portal experiences: For providers, the portal brings together each specific member’s information, coverage, and options relevant to the payer and plan to streamline workflows and patient service. 
• Provider data management: Providers maintain their own timely, complete, and reliable information through the portal. Built-in validations and automated updates help payers stay in compliance and minimize costly errors.
• Member tools for digital connection: Using SKYGEN’s Member Portal, member can manage their entire benefit plan at any time, from any screen. They can access essential information such as eligibility, benefits and claim status, and stay informed about co-pays, deductibles, and out-of-pocket expenses. SKYGEN’s member mobile app provides similar tools for members to easily manage their vision benefits. 

Are Vision Providers Ready for a Digital Relationship?
In a word, yes. SKYGEN’s ongoing Pulse research indicates more than half of providers want payers to integrate online tools such as patient portals and automated billing and coding software. Providers are also interested in immediate online claims submission and processing, and online submission of prior authorizations. 

It's time to reimagine provider relationships in which data flows seamlessly, updates happen in real time, and vision payers spend less time chasing information and more time driving outcomes. SKYGEN can help you explore the power of integrated, automated workflows for your vision benefits plans. Contact a SKYGEN specialty benefits expert today to get started.

About SKYGEN
SKYGEN transforms dental and vision benefits management and administration with flexible technology and services that connect and change lives for the better. Through partnerships with payers, providers and government agencies, SKYGEN helps its customers navigate dental and vision benefits management and administration. With its portfolio of third-party administration (TPA), intelligent Software as a Service (SaaS) automation, marketplace connectivity, risk management solutions and above-and-beyond services like Enhanced Benefit Management (EBM), Provider Select Suite platforms, mobile apps and portals, SKYGEN serves nearly 50 million members across all 50 states, more than 40 government and commercial insurers and process 3 million claims monthly. For more information, please visit www.skygenusa.com.