HealthCare Information Management, Inc.
Turning Complexity into Simplicity.™

HCIM's Business Process Automation Solutions and Services will transform your business HCIM Healthcare Payer Consulting Services SymKey - Process claims faster, cheaper, easier, and more accurately with less staff and a tighter budget. ICD-When? With less than a year to go, we can help you get ICD-10 under control before time runs out. Automate the Loading of Benefit Plans into QNXT with the SymKey Benefit Plan Loader
Recent News

HCIM and PCG Software Announce Partnership to Reduce the Cost of Healthcare for Payers and Other Managed Care Organizations

HCIM to Serve as the Exclusive Value-Added Reseller for PCG Software’s Virtual Examiner® and Virtual Reporter® HCIM and PCG Software, Inc. (PCG) today announced an exclusive value-added reseller (VAR) agreement to resell PCG’s Virtual Examiner® and Virtual Reporter® (VE/VR) claims recommendation software to the healthcare payer/managed care industry. With the use of more than 30 million claim edits, VE/VR compares claims against a strict set of industry rules and locates Read More…

HCIM Increases its Product Suite by Signing VAR Agreement with L5 Healthcare Solutions

HCIM is pleased to announce that they have signed a Value-Added Reseller agreement with L5 Healthcare Solutions. HCIM will be reselling L5’s Claims Audit Tool™ to the Health Plan/Managed Care Payer industry. The Claims Audit Tool™ is designed to be used by the audit departments of organizations paying healthcare claims by streamlining the claims audit workflow and reporting process. Clients use the Claims Audit Tool™ to facilitate pre- and post-payment Read More…

Citra Health Solutions Selects HCIM as Preferred Partner for EZ-CAP Consulting

Sep. 9, 2014 – JACKSONVILLE, Fla. — Citra Health Solutions (formerly OrangeMZI Healthcare) has selected HealthCare Information Management, Inc. (HCIM) as a Preferred Partner for EZ-CAP® professional consulting services. When Orange Health Solutions and MZI Healthcare merged in April 2014, the newly branded Citra Health Solutions decided to seek out a trusted consulting partner and identified HCIM as the perfect fit, since they had been an Official EZ-CAP® Partner since Read More…

Managed Care Systems Increases Productivity with the SymKey® Benefit Plan Loader for QNXT™

Open Enrollment is upon all of us this year and the annual challenge of building and maintaining all the benefit plans for the upcoming year begins. HCIM’s SymKey® Benefit Plan Loader™ for QNXT™ (SymKey® BPL) provides you with an automated solution for building and editing your benefit plans. The SymKey® BPL extracts benefit plan information from QNXT™ directly into validated spreadsheet templates. Edits for the new plan year are easily Read More…

Heritage Provider Network Secures SymKey® Enterprise License

HCIM is pleased to announce that Heritage Provider Network (HPN) is the first EZ-CAP® client to sign a SymKey® Enterprise license. Their Enterprise level agreement includes access to the entire SymKey® for EZ-CAP® suite of solutions, including the Professional, Hospital, and Virtual Auto-Post™ modules for all seven of HPN’s sites. As an added bonus, HPN will receive an unlimited number of SymKey® processing engines at no additional charge, which allows them Read More…

Endorsements

Choice Medical Group

“All I have is SymKey and one auditor. It’s been an easy weekly check run for me.”

Myrna Javier
Claims Manager

Network Medical Management

“I run 80% of my claims through SymKey and the new Batch Manager is heaven sent. I just schedule all my reports and SymKey does its thing, so I don’t even have to look at it.”

Kathleen Leaño
Director of Operations

NAMM-IL

“We were presented with a monumental task. Our Fee Schedules were updated and we had to reprocess over 300,000 claims. It would take thousands of staff-hours just to enter all these claims, not to mention auditing for accuracy of copay, eligibility, coding, etc. SymKey recreated the 300,000 claims so that our focus was on auditing the repricing payments. Thank you SymKey for all the hours you saved us.”

Karen Cherone
Claims Supervisor

NAMM-IL

“SymKey was very instrumental with the volume we encountered. Being able to change statuses was one of the key steps for our review process. This work around enabled us to block our claim categories and review without interfering in our regular claim process. SymKey has been a tremendous help! SymKey made the impossible possible!”

Marina Nuñez
Claims Supervisor

Managed Care Systems

“I’m watching a SymKey scenario right now. It just keyed 62 claims at 1,151 claims/hour. I tease my analysts and say, “Let’s see you key that fast.” On average, my claims analysts process 200 claims/day. They’d be superhuman if they could key half as fast as SymKey! My analysts love using SymKey because it boosts production, reduces errors, and saves them from having to do a lot of tedious manual work.”

Tammy Anderson
Claims Manager

Desert Oasis Healthcare

“SymKey is my very best friend. Without SymKey, it would be more difficult to maintain an eight day inventory with current staff.”

Brooke Yates
Claims Data Specialist II

PrimaryHealth of Josephine County

“Everyone has been wonderful to work with! Not only was our onsite visit great, but continuing support is timely, responses to our questions are well thought out, and it’s clear that HCIM has our best interest in mind!”

Maggie Rollins
Director of Operations

Choice Medical Group

“Our claims department has been very impressed with the SymKey product. It has tremendously helped them keep up with the volume of claims we receive even when we have had staff turnover.”

Justin Ashe
Director Of Information Technology

Physicians Medical Group of SCC

“The primary advantage we’ve found with SymKey® has been the ability to have scripts written to auto-adjudicate the most common edits or adjustments. We have a variety of contract designs specific to certain providers/specialties with unique reimbursement methodologies. One example that we are especially proud of is our shared endoscopic base procedure adjustment script that automates the correct calculation of a complex contract scenario that cannot be configured in EZ-CAP®.”

Faye Merryman
Claims Supervisor

Physicians of Southwest Washington

“SymKey’s price tag was unbelievable! I didn’t think a small company like ours would be able to afford it, but the cost was so reasonable and the ROI was just amazing. I’m seeing a 3x return on my investment!”

Tamra Ruymann
Claims Manager

Physicians Medical Group of SCC

“We have been able to move many of our homegrown solutions into the SymKey product, which ensures that the rules are applied accurately and consistently. We will soon be expanding the use of SymKey into more auto-adjudication areas, and we are confident that it will continue to improve our productivity.”

Cindy Martin
COO

Bakersfield Family Medical Center

“I am really enjoying SymKey® 3.0. The processing time has gotten faster and my work day has gotten shorter – all of which are a good thing!”

Sharlene Ramey
EDI Analyst, MIS

WINhealth Partners

“We have been using SymKey® Virtual Auto-Post™ with xpress™ since December of 2013. After we got everything set up, it became one of the easiest things I do every day. It is a simple matter of reviewing errors on claims and letting SymKey® post the modifier or denial. It also does all necessary documentation. What a time saver.”

Sharon Goodman
Manager of Claims

Managed Care Systems

“We have seen considerable improvement in productivity in the QNXT system with the use of SymKey. For the first time, authorization requests that we have identified as “auto auth” are actually going in clerk-free. Since the middle of July we have lost two FTEs and have two additional employees on leave and have so far been able to absorb the workload.”

Janice Jones
UM Director

Desert Oasis Healthcare

“SymKey’s abilities contribute to the success of the department. SymKey makes life easier by adding memos and notes, applying adjustment codes, correcting information that was in-loaded incorrectly, adding authorizations and case numbers, adding and/or removing copays, copying claims for adjustments, etc. We LOVE our Symkey and the people behind the product. The customer service is outstanding – they are responsive, helpful, accommodating, friendly, generous with their time and knowledge, and innovative.”

Clare Abadie
Claims Director

Desert Oasis Healthcare (DOHC)

“SymKey Virtual Auto-Post freed up examiners from having to manually enter adjustment codes by having VAP do the work. VAP is fast and accurate. Efficiency is the name of the game. The more innovative we are, the more we realize how SymKey can be utilized. We have a new saying around DOHC, ‘How did we ever live without SymKey Virtual Auto-Post?”

Clare Abadie
Claims Director

NAMM-IL

“In the few months since we licensed SymKey, we’ve already seen a 50% decrease in the amount of time supervisors have to prepare for check runs and we’ve achieved a higher level of productiveness and effectiveness in our claims processing. We currently run about 80% of our claims through SymKey. Since SymKey can automate our processes, it will allow us to grow without having to hire and train more staff.”

Mary Kouvelis
Senior Operations Director

Physicians of Southwest Washington

“At our rate of growth, we’ve needed to hire more claims processors every year and I was actually down a claims processor when we started our trial, but our productivity has improved so much with SymKey that we don’t need to hire any new claims processors at this point. Because SymKey can handle all the claims we throw at it, we can grow our business with a reduction in hiring.”

Tamra Ruymann
Claims Manager

Choice Medical Group

“SymKey’s an asset to our team and is really an ideal employee because it’s incredibly efficient, always does what it’s told, never calls in sick, and won’t ever quit on us. SymKey has allowed us to automate a high volume of claims so our processors can focus on higher priorities and more complex tasks.”

Blair Bryson
IPA Administrator

Choice Medical Group

“My favorite feature is how fast SymKey auto-adjudicated thousands of claims/hour according to our specific needs. We saved at least 1-2 FTEs and expect to realize additional cost savings when we’re able to schedule our reports. Virtual Auto-Post™ saved lots of time by not having to review every single CCI edit pulled by Virtual Examiner/Reporter – SymKey automatically applied the adjustment reason codes and denied claims as instructed.”

Christina Ortiz
Claims Auditor

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