SymKey for Plexis Claims Manager

SymKey for Plexis Claims Manager (PCM) was released on May 1, 2012, and will be demonstrated via webinar in August 2012 and at the upcoming Plexis 2012 User Conference, Sept. 9-12. Ashland, Oregon-based Plexis Healthcare Systems (Plexis) has partnered with HCIM to identify potential SymKey for PCM pilot sites. Together, HCIM and Plexis surveyed a large number of PCM clients about their interest in workflow automation within the PCM system. Congratulations to Kemba Brooks from the Beacon Insurance Company Limited, who won the iPad from HCIM and the Keyfolio from Plexis for participating in the survey.

Survey Results

The survey showed that many respondents were keenly interested in learning how they can achieve greater operational efficiency through the automation provided by SymKey. As a result, many of the survey respondents are pursuing engagements with HCIM to further explore use of SymKey in their environment.

About SymKey for PCM

SymKey’s powerful automation technology performs a predefined series of actions on hundreds of claims per batch within PCM. SymKey can touch and edit/modify virtually any PCM Professional claim header and detail field. The SymKey application is a feature-rich and user friendly front-end office solution that is designed for the efficient and automated processing of claims through the utilization of advanced business rules. With configuration designed for flexibility and ease of use, clients can freely tailor the product to fit complex, ever-evolving business structures.

Complex issues that once required manual processing, such as individualized contractual business rules and scenarios, retro rate reconciliation, eligibility review, and customized manual claims processing workarounds can all be automated within the SymKey application. SymKey also features comprehensive batch and historical reporting.

Why SymKey?

SymKey automates routine daily claims operations to make organizations more productive and allows them to contain operational costs, reduce turnaround times, improve efficiency and accuracy, and bridge system functionality gaps. SymKey clients have seen processing speeds in excess of 5–8 times what their current claims processors can manually process. HCIM’s tiered SymKey pricing allows organizations of all sizes to grow their business, meet industry mandates, maintain quality standards without hiring additional resources, and give their operational staff more time to focus on more complex tasks.

30-Day Risk-Free Trial

HCIM offers a 30-day risk-free SymKey trial so clients can try SymKey in their production environment prior to entering a licensing agreement. HCIM’s team of experts implement SymKey onsite and train users so they can begin processing claims in production within 5 days.

Downloads

Client Workflows Eligible for SymKey Automated Adjudication
Modifiable Professional Claims Fields in Plexis Claims Manager

More Information

For more information, please contact:
Laurie Kirkland
Director of Sales & Marketing
949-290-6445
lkirkland@hcim.com

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.