SymKey Eligibility Module
Trusted IntelliRPA® automation can save you time and increases accuracy. Assign your SymKey® robots to complete repetitive manual Eligibility updates.
Key Features
Change the Current Health Plan Benefit Option
SymKey can use the utility on page 4 to change the current health plan benefit option for existing members.
Change the Current PCP
SymKey can use the utility on page 4 to change the current PCP provider for existing members.
Add Members
SymKey can add new members, including these fields:
- Member ID
- Health Plan Code, Benefit Option, Effective From Date and Employer Group
- PCP Provider ID and Effective From Date
- PCF Provider ID and Effective From Date
- Last, First and Middle Name
- Gender
- Birth Date and Birth Sequence
- Contract Type
- Member Status
- Language Code
- Additional Insurance: Other Coverage, Responsibility Code, and Policy
- User Defined Fields (UDFs)
- Memo Lines
- Member Notes
- One or more Contact records: Type, Address, Phone Numbers, Email Addresses, Effective From Date and flags
Update Demographics
SymKey can update these member demographic fields on existing members:
- First Name
- Middle Name
- Birth Sequence
- Contract Type
- Member Status
- Language Code
- Additional Insurance: Other Coverage, Responsibility Code, and Policy
Add Contacts (Addresses/Phone Numbers)
SymKey can add new contact records, including:
- Addresses
- Phone numbers
- Email addresses
- Effective dates (from and to date)
- Setting the default address
Add Member Notes
SymKey can add one or more notes to a member.
Update Memo Lines
SymKey can update any of the four Memo lines
Update User Defined Fields
SymKey can update all 100 User Defined Fields (UDFs)
From the Blog
Case Study: Streamlining Provider Data Management with the New SymKey for EZ-CAP Provider Module
Maintaining Provider Data accuracy is one of the most common challenges for payers in the healthcare industry, and good reason. It can be overwhelming and, at times, very challenging to
Health Plans Continue to Struggle with Inaccurate Provider Directories
Unexpected medical bills are a common issue that many patients face. In 2020, the Federal government passed the No Surprises Act to protect patients from these unexpected bills and increase