Posts Tagged ‘SymKey Configuration’

FAQ: How do I generate the SymKey Hard/No Dup reports?

Thursday, May 27th, 2010

Answer: In SymKey® v. 1.30 and later, click the “Hard Duplicates” link under the Modules section on the left side of the main menu. In the Hard Duplicates Generator window, you will see that the checkboxes for SymKey’s default configuration are preselected. By default, the Hard Duplicates Generator will match the following:

  • Claims in status 1, 2, or 3 (Suspect Claims) received during the past month against claims received at any date that are in status 5, 6, or 9 (Target Claims)
  • Only look at suspect claims where EZ-CAP has marked any line on the claim with a “DUP” flag in the P7 field
  • Suspect claim matches target claim’s header info for:
    • Member ID
    • Vendor ID
  • Every suspect claim line matches a unique line on the target claim by:
    • Service Date From
    • Service Type
    • Service Code
    • Billed Charge

You may further refine the matching criteria by checking the appropriate checkboxes. When you are ready to run the report, click the “Create File” button. SymKey will search for the duplicate claims that meet your criteria and begin building a batch file. Once completed, SymKey will save the new file under C:\SymKey\Files\Source by default. You can then run that duplicates file in the appropriate SymKey Professional or Hospital Claims module and deny them per your business rules. For more information, refer to your SymKey User Guide or contact HCIM Product Support at support@hcim.com or 888-454-0202, ext. 2.

FAQ: How do I view batch report information for an entire month?

Thursday, May 13th, 2010

Answer: From the left side of the SymKey main menu, click the Productivity Reports link in the Reports section. SymKey’s productivity reports are an aggregate of your daily batches, viewable by month, year, or pend reasons, depending on which report you select. The reports allow you to quickly view performance data, claims processed, and most importantly your return on investment (ROI) acheived by the SymKey application. For more information about SymKey’s productivity reports, click here.

FAQ: How do I add or change one of the EZ-CAP databases that SymKey processes claims in?

Friday, May 7th, 2010

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 it in the list at the top of the window and change the necessary information that is displayed below it. Once you are finished, click the “Save Changes” button.

If you want to add another database to the list, click the “New Database” button. This will give you the opportunity to choose a name for the database, add a server name and database name, and set EZ-CAP and database connection user IDs and passwords. Once you are finished, click the “Test Connection” button. This will confirm that SymKey can successfully communicate with the database. Once you are satisfied, click the “Save New Database” button.

FAQ: We have upgraded our version of EZ-CAP. Is there anything we need to do with SymKey?

Thursday, April 22nd, 2010

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.

FAQ: Why can’t I see the SymKey configuration options?

Thursday, April 15th, 2010

Answer: There are three security levels that determine what the user has access to:

The User role has access to SymKey’s modules in order to run batches and view reports and documentation.

The Admin role has the ability to change much of the configuration in SymKey, including configuring users, passwords, and database connection management.

The Developer role is reserved for HCIM’s analysts and developers, and allows for the configuration of scripts and other application-level options necessary for SymKey to communicate with EZ-CAP.

When you log into SymKey with your User ID, the security assigned to that ID is validated and only the options available to that role are visible. If you have the need to access restricted areas of the SymKey application, please see your administrator or contact HCIM Product Support at support@hcim.com for assistance.

FAQ: What is the proper source file format/layout for Professional and Hospital Claims batches?

Thursday, March 25th, 2010

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 to the claim number. In these cases the additional information must be in a comma-separated format. Examples of the input file structure can be seen below.

Standard input file example
2010020499900001
2010020499900245
2010020513400211

Comma-separated file examples
Detail lines needed:
2010020499900232,2
2010020621100110,1
2010020743700087,3

Auth numbers needed:
2010020499900101,2010030100002
2010020499900276,2010030100776
2010020513400277,2010030100433

Batch Processing file:
claimno,sequence,copay,status
2010020499900216,2,10,1
2010020499900780,1,20,1
2010020513400091,6,5,1

FAQ: Where do source files go after the batch is completed?

Wednesday, March 10th, 2010

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 it is moved from its source location to the Complete folder. This method ensures that all the files are organized and easy to find.

FAQ: Where can I locate source batch files?

Wednesday, March 3rd, 2010

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 modules, the default folder will automatically appear in the selection window. If you would like a different folder to be the default, contact us at support@hcim.com or 888-454-0202, so we can re-configure the default file folder to suit your needs.

FAQ: Can I schedule SymKey to run as a batch process at night?

Wednesday, February 24th, 2010

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 scenario. This can be done either at the SymKey machine or remotely through various means such as Microsoft Remote Desktop.

FAQ: Does SymKey generate the list of claims for the claims batch?

Wednesday, February 17th, 2010

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 that are used to create these files are Crystal Reports, SQL, and Microsoft Access. Our Virtual Auto-Post module works in concert with PCG Software’s Virtual Examiner and Virtual Reporter applications. 

For the scenarios that require an outside program to create the input file, HCIM offers a number of customizable Crystal Reports that handle many standard situations. If you require specialized reporting, that option can also be discussed and handled directly with HCIM. Many of our clients utilize both standard and custom reports in order to find the claims that SymKey will use.