Provider Module

Automate roster file ingestion and provider data updates accurately in seconds.

SymKey Delivers Rapid Results

Imperial Health Holdings successfully implemented the SymKey Provider Module in only 30 days, utilizing automation to achieve significant improvements in accuracy and operational efficiency. remarkable gains in accuracy and operational efficiency. 

Performance Overview in the Initial Two Months:

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Unique Record Process

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

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New Providers Added

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

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Records Updated

Inaccurate or outdated records were corrected, significantly boosting data consistency.

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

Learn more about what SymKey
can do for you.

Discrepancies in provider information can lead to billing issues, delayed claims processing, and regulatory penalties, creating a ripple effect that impacts all stakeholders—providers, payers, and patients. The SymKey Provider Module simplifies complex provider data tasks and unlocks new levels of accuracy, speed, and productivity.

Capabilities

Add New Providers

One or more vendor associations
Specialties
Health plan affiliations
Fee set assignments
Locations (contacts and addresses)

Seamless Management of Vendor Relationships

Updating existing vendor associations
Adding new vendor associations
Terminating vendor associations as needed
Fee set assignments

Update Key Provider Demographic Fields on Existing Providers

Last Name
First Name
Middle Name
Suffix
Birthdate
Gender
RBRVS Carrier and Locality

Add New Health Plan Panels to a Provider’s Profile

Setting the Membership Start Date
Adding associated HMO/PPO Records

Add, Update, and Term Health Plan Panels

In-Network/Out-of-Network
Specialty Code
Vendor ID
Start and Term Dates
Status code
Gender
RBRVS Carrier and Locality

Manage Health Plan Panel Records

Update Existing HMO and PPO Records
Add New HMO and PPO Records
In-Network/Out-of-Network Status
Specialty Code
Vendor ID
Start and Termination Dates
Status Code
Adding New Health Plan Panels

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.

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