SymKey Claims Module - HealthCare Information Management

Claims Module

SymKey processes claims 8x faster than a person and with 100% accuracy, allowing your staff to focus on more complex tasks.

Designed specifically for payers, SymKey processes healthcare claims 8x faster than a claims examiner, with 100% accuracy, and can be scheduled to run 24/7. Seamlessly integrating with your existing claims platform, SymKey operates through your system’s front-end interface, maintaining a secure, auditable trail for every processed claim. Whether handling routine updates or complex claims adjustments, this cost-effective solution boosts productivity, reduces turnaround times, and transforms the way payers manage claims.

Increase Auto Adjudication

Users experience boosts of 30 percentage points or more in their auto-adjudication rates. Often reaching rates of 90% or better.

Faster Turnaround Times

SymKey works 8x faster than a person and can run 24/7. One client cleared their 30,000 claim backlog within 1 week.

Real Savings

SymKey is cost-effective and purpose-built software that delivers 11x ROI. Users see an average annual savings of 10 FTEs or more.

Risk-Free Trial

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.

Capabilities

SymKey can touch and edit virtually any claim header or detail line field in your claims system, automating an unending list of your manual workflows. Some examples include:

Reprocess Paid Claims

Retroactively Adjust Claims

Add Notes

Exception or Outlier Claims

Add a Claim Line

Apply CARCS and RARCS

Match Authorizations

Deny Claims

Learn more about what SymKey
can do for you.

How It Works

Step One

Implementation

HCIM’s staff works with your team to document common processes and programs these workflows into SymKey. Clients are typically up and running in production within 3 days, resulting in a rapid ROI.

Step Two

Schedule SymKey

Simply tell SymKey which workflows to run and when, resulting in 24/7 productivity that will virtually eliminate backlogs. You can monitor the progress of claims batches and make changes at any time.

Step Three

Analyze results

Review and analyze your SymKey reports to refine and optimize your workflows. Users can customize and update workflows as required. Redeploy your staff to work on more critical tasks.

Step four

Innovate

Revisit your top pend reasons to identify new opportunities and continue to automate workflows. While your claims are being processed by SymKey, your staff is now available to focus on work that requires human intervention.