Innovative Post-Payment SymKey® Uses

HCIM’s SymKey® clients are able to automate the post-payment reprocessing of claims in order to handle large volumes of claims without the need to hire additional claims staff. Some of these post-payment uses include:

  1. Applying CMS retroactive fee schedule changes Applying retroactive Provider contract fee schedule changes
  2. Identifying/correcting ineligible Providers/Vendors for services
  3. Correcting member eligibility
  4. Paying the correct Provider/Vendor

SymKey® clients can further streamline the claims process and boost productivity by combining these post-payment actions with other automated scenarios, such as changing received dates, adding a claim note, adding a claim memo, and changing a Provider’s contract relationships.

For more information, please contact HCIM support at support@hcim.com or call 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.