Authorizations Module

Automate addition, modification, and updates of authorizations to increase speed and accuracy with lower cost.

Capabilities

Update Header Fields

SymKey can update the following information on the Authorization Header:

Authorization Status Codes

Authorization Action Dates

Member Information

Provider and Vendor IDs

Service Types and Units

And Most Other Codes

Update Other Fields

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We understand that implementing new technology can be daunting. That’s why we offer a flexible opt-out option. If SymKey doesn’t meet your expectations, opting out is hassle-free. However, we’re confident that our solution’s speed, accuracy, and ROI will deliver rapid results.

Update Detail Fields

SymKey can update the values in the following Detail Line fields:

Service Type

Service Code and Procedure Grouping

NDC Code

Modifiers

Requested and Authorized Quantities

Adjustment and Final Adjustment Codes

And other codes and values

Learn more about what SymKey
can do for you.

Example Scenarios

Auto-Approval

SymKey can update the Authorization status to Approved, ideal for direct referrals that don’t require prior authorization.

UM Delegation Routing

SymKey can update the Authorization status and add denial notes to quickly route the authorization to the appropriate UM team for final review.

Extend Auth Dates

SymKey can extend the expiration date of an existing authorization.

Create a New Authorization

SymKey can create a new companion authorization for professional services, either to accompany the facility authorization or to reissue an expired authorization.

Modify an Existing Record

SymKey can add a detail line. For example, it can create a line to down-code the existing authorization, such as a code reduction for care level.

Additional Lines

SymKey can add detail lines, such as adding X-raysto an Orthopedic consult or follow-up visits for Home Health care.

From The Blog

Medicare Advantage Key Updates

Important 2026 Updates for Medicare Advantage: Enhanced Provider Directories and Streamlined Prior Authorization The Centers for Medicare & Medicaid Services (CMS) are set to implement new regulations for Medicare Advantage

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