Robotic process automation (RPA), provided by SymKey®, enables hyperautomation of healthcare
claims processing 6-8 times faster for payers bogged down by the constraints of processing claims by hand.
Medford, Oregon – April 2022 – PLEXIS Healthcare Systems, a leading healthcare payer
technology company and innovator in next generation digital core administrative processing
solutions (CAPS), today announced the integration of SymKey® hyperautomation technology
into their Quantum Choice™ core administrative claims management platform. Since 2011, the
PLEXIS partnership with SymKey® provider HealthCare Information Management, Inc. (HCIM)
has also enabled the development of robotic process automation within the PLEXIS Claims
Manager™ CAPS platform.
Hyperautomation is rapidly superseding manual processing of healthcare claims by hand within
healthcare payer organizations seeking to stay competitive in an industry that is embracing
digital transformation in a post COVID-19 “Digital-First” world. Fabrizio Biscotti, research vice
president at Gartner, elaborates by saying “Hyperautomation has shifted from an option to a
condition of survival”. Hyperautomation is defined by Gartner as “…an approach that enables
organizations to rapidly identify, vet and automate as many processes as possible using
technology, such as robotic process automation (RPA), low-code application platforms (LCAP),
artificial intelligence (AI) and virtual assistants.”
SymKey® robotic process automation, from HCIM, leverages proprietary IntelliRPA®
automation technology to process healthcare claims within the Quantum Choice™ core
administrative platform provided by PLEXIS. SymKey® automates manual actions on
professional and institution claims, touching and editing virtually every claim header and detail
field within the platform. SymKey® robots run up to 24/7 processing claims 6-8 times faster than
manual processing and automating an average of 150+ claims per hour, per robot.
“According to research by Gartner, by 2024, organizations will lower operational costs by 30%
as they combine hyperautomation technologies with redesigned operational processes.” said
Sean Garrett, chief operating officer. “PLEXIS is proud to lead this effort with longtime partner
HCIM and help payer organizations see significant cost-savings and achieve operational
excellence.”
About PLEXIS Healthcare Systems
Celebrating 25 years of service, PLEXIS Healthcare Systems is a leading payer technology
company that delivers trusted enterprise core administration and claims management solutions
to healthcare payers and delivery systems around the globe. More than 100 organizations trust
PLEXIS core administrative enterprise solutions to manage over 55 million lives in all 50 states
and around the globe. PLEXIS provides mission-critical solutions that catalyze efficiencies and
connect evolving business ecosystems to a wide range of payer organizations. PLEXIS
Healthcare Systems is featured in Gartner’s 2022 Market Guide for U.S. Healthcare Payers’
Core Administrative Processing Solutions (February 2022) as a Representative Vendor.
About HealthCare Information Management, Inc.
Founded in 2000, HealthCare Information Management, Inc. (HCIM) partners with health care
payers and managed care organizations to streamline operations and reduce administrative
costs. Our products and services are designed and delivered by experienced professionals
who understand operations and the unique challenges payers face. It’s the expertise behind
the solutions that set HCIM apart. HCIM’s flagship product SymKey ® leverages IntelliRPA ®
robotic process automation to reduce administrative costs and streamline operations. Custom
scenarios are built based on client’s business rules and ensure that claims are processed
accurately at speeds up to 8x faster than manual processes.