HCIM’s products are designed to help health plans that are struggling to manually process claims. To reduce the burden on staff, HCIM developed the SymKey® application, which automates repetitive data entry and performs advanced claims adjudication. SymKey® can reach processing speeds of 800 claims per hour, which is 6-8x faster than manually. Integrated with many of the leading claims transaction systems, SymKey® uses pre-programmed artificial intelligence to identify and correct errors accurately and consistently. Another product offering, the SymKey®Benefit Plan Loader allows users to easily modify and update benefit plan terms, and then automatically loads them back into the claims system. In addition, HCIM’s Virtual Auto-Post™ automates the posting of Virtual Examiner® claim edits and recommendations back into the client’s core claims system.
With their products and professional services, HCIM is helping clients to navigate through the changes in technological trends. “Our products and services go hand in hand, where we understand the problem, conceptualize a solution and guide the client on the right path to reach their goal,” states Wilson.
Recently, a healthcare payer needed to migrate three different claims systems into one core system and approached HCIM for assistance. Leveraging their consultants’ extensive knowledge and experience, HCIM was able to convert their historical data from all three systems, implement and configure their new system, and re-engineer their businesses processes and workflows using industry best practices. This resulted in new efficiencies and a complete transformation of the client’s operations.
In the future, HCIM plans to expand their product offerings to additional payer claims system platforms and will continue exploring new business opportunities. “Our innovative solutions will bring about a new era of operational efficiencies, where healthcare payers can embrace technological advances while minimizing financial impacts,” concludes Wilson.
Our innovative solutions will bring about a new era of operational efficiencies, where healthcare payers can embrace technological advances while minimizing financial impacts