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When transactional isn’t enough: The case for clearinghouse reinvention Clearinghouses have long been the backbone of healthcare data movement. For decades, they’ve served as critical infrastructure – routing, formatting, and scrubbing transactions like claims (837), remittances (835), eligibility checks (270/271), and attachments. Yet, while their foundational role is undeniable, traditional clearinghouses are increasingly ill-equipped for […]
The healthcare landscape is crisscrossed by an invisible highway system, jam-packed with the constant exchange of digital information between payers and providers. Without third parties to direct traffic and prevent pileups, these information highways would inevitably grind to a halt. Preventing this gridlock disaster is the job of healthcare clearinghouses, software-driven digital hubs that securely […]
August 3, 2022 – Eagan, Minnesota – Smart Data Solutions (SDS), a leading provider of data management, claim routing, and workflow solutions to Health Plans and TPAs, acquires ClaimLynx, a Minnesota-based medical claims clearinghouse. The move to acquire ClaimLynx first started in Q1 of 2021, as Smart Data Solutions was looking to expand its clearinghouse […]
Data is growing exponentially and, as long as the population continues to grow, so will the data associated with electronic record keeping. This is especially prevalent in the health and medical industries, and in digital record keeping specifically. Optimizing Electronic Medical Records (EMR) or Electronic Health Records (EHR) is a critical step in efficiently and […]
Our CEO, Pat Bollom, sat down with Chris Mueller, Clearinghouse Business Director at SDS, to discuss some of the solutions that our Smart Data Stream Clearinghouse can provide for both Payers and Providers. You can also watch the video of their discussion here. Pat: I will start out by asking you what enhancements have we […]
A dental electronic claims clearinghouse can be considered the middleman between dental care Providers and insurance Payers. Think of a clearinghouse as an editor for your dental claims, looking for errors and ensuring the claims can get correctly processed by the Payer. After the claims are checked for inconsistencies, they are routed electronically to the […]