Provider Module
Automate roster file ingestion and provider data updates accurately in seconds
SymKey Delivers Rapid Results
The recent deployment of the SymKey Provider Module at a Management Services Organization (MSO) in Southern California highlights our commitment to delivering quick solutions with immediate impact. Completed in just 30 days, the implementation process was smooth and efficient, leading to impressive productivity in the first two months.
Performance Overview in the Initial Two Months:
Total Transactions Processed
Major Health Plan Updates
Provider Identification Revisions
- Terminations Managed: 13,329
- Providers Added: 3,204
- Health Plan Modifications: 3,463
- Contractual Updates: 2,105
- Removal of Duplicates: 1,421
can do for you.
Discrepancies in provider information can lead to billing issues, delayed claims processing, and regulatory penalties, creating a ripple effect that impacts all stakeholders—providers, payers, and patients. The SymKey Provider Module simplifies complex provider data tasks and unlocks new levels of accuracy, speed, and productivity.
Capabilities
SymKey enables the addition of new providers along with:
- One or more vendor associations
- Specialties
- Health plan affiliations
- Fee set assignments
- Locations (contacts and addresses)
SymKey allows for seamless management of vendor relationships by:
- Updating existing vendor associations
- Adding new vendor associations
- Terminating vendor associations as needed
- Fee set assignments
SymKey can efficiently update key provider demographic fields on existing providers:
- Last Name
- First Name
- Middle Name
- Suffix
- Birthdate
- Gender
- RBRVS Carrier and Locality
SymKey supports the addition specialties to a provider fields, including these fields:
- Specialty Type
- Specialty Code
SymKey provides comprehensive functionality for managing health plan panel records, including:
- Update Existing HMO and PPO Records
- Add New HMO and PPO Records
- In-Network/Out-of-Network Status
- Specialty Code
- Vendor ID
- Start and Termination Dates
- Status Code
- Adding New Health Plan Panels
SymKey allows for the addition of new health plan panels to a provider’s profile, including:
- Setting the Membership Start Date
- Adding associated HMO/PPO Records
Update Contract Type Code and Class Code
Add, Update, and Term Health Plan Panels
SymKey can update existing health plan panel HMO and PPO records and add new HMO and PPO records including updating these HMO/PPO fields:
- In-Network/Out-of-Network
- Specialty Code
- Vendor ID
- Start and Term Dates
- Status code
SymKey can add new health plan panels to the provider, including setting the membership start date and adding HMO/PPO records.
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.
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