HCIM

Answer: To easily create a standard scenario processing batch file, all you need is a column of claim numbers in a text file:

In either Windows Notepad or an Excel spreadsheet, simply enter the column of claim numbers and save the file:
File Type: *.txt
Destination: SymKey\Files\Source directory
Browse for the file as usual within the SymKey Professional or [...]

Answer: This is a four-step process:

Identify the type of claims that you would like to target (i.e. denying claims that exceed a timely filing threshold).
Define what claims fall into this scenario (i.e. timely filing claims may be in-network providers as defined by the “ZZZ” in the Provider Contract field, where the date received is more [...]

Answer: In SymKey® v. 1.30 and later, switching databases has never been easier. Simply click the “Change Database” link in the lower left corner of the SymKey main menu. When the “Change Database” window opens, you will see all databases to which SymKey is configured to connect. Once you select the desired database and click the “OK” [...]

Answer: One of SymKey’s global settings allows users to configure whether or not to zero out the contract value when SymKey denies a line in either the Professional or Hospital Claims modules. In SymKey v. 1.20 and later, the configuration of this action is reserved for users with an Admin security level.
To change the setting, [...]

Answer: SymKey® allows users to configure the handling of claims with COB (Coordination of Benefits). When EZ-CAP® determines that a member has other coverage, it flags that claim as COB. SymKey can be configured to either pend COB claims for review if the coverage is Primary, pend for review when there is any other coverage, or [...]

Answer: In SymKey® v. 1.31 and later, only Admin level users have sufficient security rights to configure or change how SymKey responds to EZ-CAP® system error/warning messages. From the SymKey main menu, click the “EZ-CAP Messages” link under the Configuration section. This will open a window that shows every message that SymKey has encountered while [...]

Answer: In SymKey® v. 1.30 and above, the Users link is under the Configuration section on the left side of the Main Menu. The rights to add/change SymKey users is limited to the Admin security role. If the Users link is enabled, then you have sufficient rights to make these changes. Selecting the Users link from the [...]

Answer: In SymKey® for EZ-CAP® v. 1.30 and later, if your User ID has admin rights, you will see an enabled “EZ-CAP Databases” link in the Configuration section of SymKey’s main menu. Clicking that link will display the current databases that are configured to work with SymKey. To change one of the databases, simply highlight [...]

Answer: The SymKey® application’s configuration will need to be updated to work with the version of EZ-CAP® that you have upgraded to. Please contact support@hcim.com or 888-454-0202, ext. 2, to schedule the update of your SymKey configuration.

Answer: The standard format for a SymKey input file is .txt or .csv. Most of the files that SymKey uses to perform batches only contain claim numbers; a text file works the best for these types of batches. Other batches require more information, such as claim detail line numbers or a claim auth in addition [...]

When SymKey completes a batch, it does two things to the source file – it appends the front of the file with the batch number and, regardless of the source location, it moves the file to SymKey’s complete folder located at C:\SymKey\Files\Complete. For example, an input file named “TestBatchFile.txt” for batch 1200 would be renamed “1200_TestBatchFile.txt” before [...]

Answer: When you create your source batch files, either through Crystal Reports, Microsoft Access, or SQL, you should save them in a place that SymKey has access to, whether it be a network drive, local folder, or the default source batch file folder (C:\SymKey\Files\Source). When you click the Browse button in any of the SymKey [...]

Answer: SymKey does not yet have a scheduler that will allow timed execution of batches. This is, however, something that is currently in the planning stages and is being looked at very seriously for a future release. In order to process a batch, a user with access to SymKey must manually configure and start each [...]

Answer: The answer depends on the kind of batch you’re running. SymKey can generate a list of claims that are considered hard duplicates and can be denied with the SymKey Professional and Hospital Claims modules. Other scenarios available in the Professional, Hospital, and Batch Processing modules require input files created from outside SymKey. Some applications [...]