NEW EDI PLATFORM CUTS HEALTH CARE CLAIMS MANAGEMENT COSTS

Posted by Smart Data Solutions on December 14th, 2009
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Smart Data Solutions

December 14, 2009 – St. Paul, Minnesota – Health care administrators today face unprecedented demands to cut costs. In response, a Minnesota company has unveiled a new claims processing system that can dramatically reduce expenses.

Smart Data Solutions’ OneStream EDI Gateway provides a wide array of services designed to reduce costs and improve administrative control and reporting. It represents a breakthrough approach to claims management for Third Party Administrators, Medicare/Medicaid payers, physician networks, and Blue Cross/Blue Shield organizations.

OneStream EDI Gateway facilitates direct connections to claims submitters, lowering costs and speeding transaction movement. It also saves time and hassle by standardizing incoming data streams, allowing companies to process a single feed of uniformly formatted transactions. This in turn facilitates fast and efficient data edits and auto-adjudication, which can be critical to proper analysis and payment.

“Thanks to our extensive experience in provider and member matching, OneStream EDI Gateway provides auto-adjudication capabilities that exceed those of a clearinghouse,” explains Pat Bollom of Smart Data. “Our proprietary matching algorithms are fully customizable to customers’ business rules, improving automation and accuracy while reducing cost and turn around time.”

OneStream EDI Gateway enables easy communications with physicians and providers, reducing the time required for customer service and claim status inquiries. Submitters even gain access to an easy-to-use online claims submission portal.

Smart Data’s new platform also allows for rapid, accurate analysis and reporting. Its easily-accessible web portal generates detailed data on all transactions, including more than 25 standard reports and user-programmable automated email alerts.

In this era of cost constraints, it makes good business sense to invest in a claims processing platform that saves money and increases accuracy and efficiency. To download a complete solutions overview for OneStream EDI Gateway, please visit www.sdata.us.

For more than ten years, Smart Data Solutions has been leveraging technology to meet the needs of health care claims managers. Today, more than 80 TPAs, PPOs, HMOs, hospitals and insurance companies depend on SDS technology to save money and streamline their business. From paper processing to claims management and EDI, Smart Data offers the solutions critically needed by today’s health care industry. For more information please contact Pat Bollom at 651-690-3140 or email pbollom@sdata.us.

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