New SymKey® 3.0 Functionality: “Add a Line” Scenarios

Do you often need to add a detail line to your claims?

If your claims processors are manually performing the following tasks over and over again, it’s time to automate them! SymKey® can add a claim line for:

  • Bundling codes together in a new line to approve or deny
  • Down-coding a level 5 ER visit to an authorized or contracted coding level
  • Roll up a contracted case rate for well woman, maternity, ER fees, or DRG payment
  • Splitting out a capitated claim detail line charge (to include an additional fee-for-service, carve-out payment, etc.)

To learn how to automate these scenarios with SymKey®, contact Laurie Kirkland at lkirkland@hcim.com.

Existing SymKey® users can email support@hcim.com for more information.

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.