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:
- Applying CMS retroactive fee schedule changes Applying retroactive Provider contract fee schedule changes
- Identifying/correcting ineligible Providers/Vendors for services
- Correcting member eligibility
- 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 firstname.lastname@example.org or call 888-454-0202, option 2.