Medical Records

Analyzing medical records presents unique challenges and has created common pain points for Payers across the industry. Some of the most common are applying a standard methodology to disparate files when parsing data, managing large volumes of documents, and compliance with state-mandated regulations and other associated requirements.

Our Solution Provides a 95% Average Reduction in Medical Record Size When Creating a Keyword Summary Document

Medical Records

Medical Record Indexing & Categorization

Our automated medical record indexing and categorization is a unique solution that has the capability to create a searchable table of contents. This table of contents includes both categorical and chronological organization, resulting in improved productivity and quality of clinician review.

Medical Records

Focused Medical Record Analysis

Medical record categorization is complemented by focused analysis. This analysis can be used for the extraction of high-level data for legal review, focused review for specific procedures, medical review, pre-authorization, referral authentication, and more. Smart Data Solutions will work with you to identify analysis criteria, so you are able to access the proper data.

Medical Records

Decision Support

Smart Data Solutions’ AI technology can aid decision support through engine training and model development. Engine training requires a history of supporting documents for the decisions to be rendered. Model development includes the application of a multitude of models and Smart Data Solutions’ proprietary algorithms. With the combination of both of these technologies, decisions are more streamlined and require less manual intervention.

Medical Records

Medical Record Indexing & Categorization

Our automated medical record indexing and categorization is a unique solution that has the capability to create a searchable table of contents. This table of contents includes both categorical and chronological organization, resulting in improved productivity and quality of clinician review.

Medical Records

Focused Medical Record Analysis

Medical record categorization is complemented by focused analysis. This analysis can be used for the extraction of high-level data for legal review, focused review for specific procedures, medical review, pre-authorization, referral authentication, and more. Smart Data Solutions will work with you to identify analysis criteria, so you are able to access the proper data.

Medical Records

Decision Support

Smart Data Solutions’ AI technology can aid decision support through engine training and model development. Engine training requires a history of supporting documents for the decisions to be rendered. Model development includes the application of a multitude of models and Smart Data Solutions’ proprietary algorithms. With the combination of both of these technologies, decisions are more streamlined and require less manual intervention.

How Automation Aids Medical Record Indexing & Analysis

Reading medical records is onerous, error-prone, and time-consuming and interpreting medical records manually increases costs significantly. Our proprietary AI technology automatically parses, summarizes, and extracts relevant data from a medical chart. After intake, we perform standard machine learning processing tasks such as tokenization and stop word removal. At this step, we also gather and analyze industry-related referential data, but to further aid this process we have also created algorithms that provide complex configurations to optimize any specific client requirements needed. We can topically and chronologically organize the records enabling swift reference and quality interpretation, thus improving clinicians’ quality and productivity in analyzing medical records.

 

95%
Review Time Saved
100%
Fully Automated
85
Net Promoter Score
500+
Clients
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CLIENT STORY

Debbie Ziegler

“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs ...”
View Story
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CLIENT STORY

Brian Janssen

“Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. The development ...”
View Story
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CLIENT STORY

Matthew Estes

“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us ...”
View Story

CLIENT TESTIMONY

Debbie Ziegler

Debbie Ziegler
Executive Director of Operations
“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs automated routing to PPOs and networks, thereby ensuring that we expediently maximize client discounts. SDS also does pre-adjudication edits, such as member and provider matching. Finally, SDS provides custom IT services such as file format conversion and transfer for our Amerihealth and BCI partnership claims. SDS has a comprehensive service suite thereby allowing “one-stop shopping’ for all our front-end services. This is both cost-effective and much easier to manage. In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. The process runs smoothly without much intervention. When we do have an issue they are quick to respond with a solution.”
“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs automated routing to PPOs and networks, thereby ensuring that we expediently maximize client discounts. SDS also does pre-adjudication edits, such as member and provider matching. Finally, SDS provides custom IT services such as file format conversion and transfer for our Amerihealth and BCI partnership claims. SDS has a comprehensive service suite thereby allowing “one-stop shopping’ for all our front-end services. This is both cost-effective and much easier to manage. In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. The process runs smoothly without much intervention. When we do have an issue they are quick to respond with a solution.”
View Solution

CLIENT TESTIMONY

Brian Janssen

Brian Janssen
VP, System Solutions
“Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. The development and execution of these solutions is always done partnered with the business leaders to ensure meaningful improvements are achieved. Because of that, Smart Data is considered a valuable partner by business leaders. When we start a Smart Data initiative, as a corporate leader I do not have to worry about whether the outcome will be successful.”
“Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. The development and execution of these solutions is always done partnered with the business leaders to ensure meaningful improvements are achieved. Because of that, Smart Data is considered a valuable partner by business leaders. When we start a Smart Data initiative, as a corporate leader I do not have to worry about whether the outcome will be successful.”
View Solution

CLIENT TESTIMONY

Matthew Estes

Matthew Estes
Chief Information Officer
“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. No matter how complex the setup and routing, SDS has always been able to make it work for us.”
“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. No matter how complex the setup and routing, SDS has always been able to make it work for us.”
View Solution

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