Products
SymKey®
advanced claims and authorizations auto-adjudication system
As HCIM’s flagship product, the SymKey® application’s advanced automation technology maximizes the performance of core benefits administration systems using programmed artificial intelligence. Utilizing leading edge technology, the SymKey application augments leading managed care core transaction systems by taking claims and authorizations processing to optimal levels of efficiency through automated adjudication, both cost-effectively and quickly.
- Click here to read more about SymKey® functionality
- SymKey® for EZ-CAP® v. 1.30 training webinar
- SymKey® product sheet
- SymKey® Kwik Actions™ product sheet
- SymKey® Virtual Auto-Post™ product sheet
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ScanClaims™
complete work-flow and inventory management solution
The ScanClaims™ product suite delivers unprecedented savings and productivity through state-of-the-art OCR scanning, imaging, data scrubbing, validation, and data management of claims and authorizations. The ScanClaims product suite can improve data accuracy by applying advanced algorithms and business rules to member and provider data prior to importing claims and authorizations through HIPAA and standard EDI formats.
Appeals Manager™
streamlined grievance and appeals system
The Appeals Manager™ application is a leading edge software product that offers an efficient and automated solution for addressing CA AB 1455 Appeals and Provider Dispute Resolution (PDR) processes. The Appeals Manager application provides efficient tracking of claims appeals, the automated generation of appeal letters for providers, reduced manual work in provider communications, a record history for auditing and tracking purposes, and electronic routing to internal departments for reviews and approvals.
Pay for Performance (P4P)
improved performance solutions
Pay for Performance is a complete technology solution that brings together all required data sources and generates accurate P4P measurement results. With this product, it is simple to earn substantial P4P financial rewards, develop strategies for achieving value and improving processing functionality, and organize data for relevant measures and quality initiatives.
Call or e-mail us today for a free 30-day risk-free trial of HCIM’s SymKey® application.
