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SymKey Provider Module Case Study: Imperial Health

Overview

Imperial Health Holdings of California, a leader in healthcare services, faced a common industry obstacle: maintaining accurate, up-to-date provider data across a complex network. By implementing SymKey automation software, Imperial Health transformed this challenge into an opportunity, achieving remarkable gains in data accuracy and operational efficiency.
“Through our partnership with HCIM, we’ve turned a significant challenge into operational excellence-empowering our team and elevating provider data quality across the board.”

Johnny Tay, VP of IT & Revenue Integrity, Imperial Health

The Challenge

Like various payers, Imperial Health experienced difficulties managing provider data:

Fragmented Data Sources

Provider rosters from various sources- each with its own format and data pulled from multiple health plans. This created inconsistencies, mismatches, and time-consuming reconciliation efforts.

Slow Manual Processes

Entering provider data manually took 8-12 minutes per record, making it difficult to keep up with volume and scale efficiently.

The Solution

Imperial Health implemented the SymKey Provider Module, configured to address their specific challenges and operational goals.

Custom Queries

HCIM developed custom queries to find data gaps early, enabling early issue detection and resolution prior to automation execution.

After-Hours Batch Processing

Overnight batch processing by Symkey robots ensured prompt bulk updates without disrupting daily operations.

Staff Empowerment

With direct training, Imperial Health's team gained the skills to manage data tools independently building long- term self-sufficiency.

Results and Metrics

Between August and December, SymKey automated critical workflows and delivered measurable improvements in provider data management:

850,548

Unique Records Processed

SymKey robots efficiently updated a high volume of records with minimal manual effort.

4,899

New Providers Added

Provider onboarding became faster and more dependable, improving data completeness.

345,647

Records Updated

Inaccurate or outdated records were corrected, significantly boosting data consistency.

850,548

Continued Accuracy

Four of Imperial’s five most-used SymKey queries now support continuous data quality maintenance.

Sustaining Success

Imperial Health now operates with a dual approach: staff queue queries during business hours, while automated batch processes run overnight, ensuring uninterrupted data management. SymKey has become an integral asset, delivering measurable value and setting the foundation for ongoing success.
“SymKey has redefined provider data management for us. What was once a bottleneck is now a strategic strength, allowing our team to work smarter and achieve better outcomes.”

Kristine Agbuya, Manager of Provider Data & Configuration, Imperial Health

Ready to learn more about how SymKey can help you streamline provider data, eligibility, authorizations, and claims adjudication? Contact us today. 

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