FAQ: How can we expand our use of SymKey to handle more claims?

Answer: This is a four-step process:

  1. Identify the type of claims that you would like to target (i.e. denying claims that exceed a timely filing threshold).
  2. 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 than 180 days after the DOS).
  3. Create a report of claims for input into a SymKey scenario or Batch Processing.
  4. Test the report and scenario configuration in SymKey.

 

At any step along the way, HCIM’s expert Product Support team is available to field questions, offer advice, or work with you to complete the entire process. Contact HCIM Product Support at support@hcim.com or 888-454-0202, option 2.

About HCIM

Since 2000, HealthCare Information Management, Inc. (HCIM) has delivered expert consulting services and robotic automation tools for small to mid-sized healthcare payer and managed care organizations. Our concierge consulting services include everything from core claims system procurement to go live, including configuration, migration, upgrades, reporting, benefits and fee schedules, user training, and project resourcing. We also offer strategic consulting in the areas of value based payments, population health, medical management, medical loss analysis and recovery, care management, provider contract modeling, data analytics, and business process reengineering/analysis.