Eligibility Module

With the SymKey Eligibility Module, achieving accurate, efficient, and fast eligibility updates is easier than ever. Automate updates to demographics, new member additions, and changes in health plan details.

Managing member eligibility data can be time-intensive and error-prone. With HCIM’s SymKey Eligibility Module, you can automate manual, repetitive tasks, saving time and resources while ensuring data accuracy across your workflows. This intelligent solution streamlines eligibility updates, making your operations more efficient and saving money.

Capabilities

Add Members

SymKey can add new members, including these fields:

Member ID, Health Plan, PCP, and PCF

Name, birthdate, address, phone number, etc.

Additional Insurance, Contract Type and Status

User Defined Fields, Memo Lines and Notes

Learn more about what SymKey
can do for you.

Add Contacts

SymKey can add new contact records, including addresses, phone numbers, and email addresses.

Update Demographics

SymKey can update essential member demographic fields, including name, language, birth sequence, contract type, and status.

Perform Utility Functions

SymKey can automate commonly used utilities to change the current Health Plan Benefit Option and current PCP.

Add Member Notes

SymKey can add notes to a member.

Update Memo Lines And User-Defined Fields

SymKey can update all user-defined fields and memo lines.

Risk-Free Trial

We understand that implementing new technology can be daunting. That’s why we offer a flexible opt-out option. If SymKey doesn’t meet your expectations, opting out is hassle-free. However, we’re confident that our solution’s speed, accuracy, and ROI will deliver rapid results.

From The Blog

Medicare Advantage Key Updates

Important 2026 Updates for Medicare Advantage: Enhanced Provider Directories and Streamlined Prior Authorization The Centers for Medicare & Medicaid Services (CMS) are set to implement new regulations for Medicare Advantage

Read More