SOWs written per year
Smart Data Solutions has been managing healthcare claims transactions for over 20 years. We bring a comprehensive set of tools and processes to every opportunity, which we carefully configure to the individual needs of each customer. Our services have helped nearly 400 healthcare payers, providers, and networks across the United States reduce costs, decrease turnaround time, improve payment accuracy, and increase process capability and control. We achieve these benefits by leveraging our IT and claims expertise – specifically, by streamlining and automating client transaction management.
An Industry Leader in Workflow Technology Advancement
From inception in 2000 to present day, Smart Data Solutions has always been founded on the principles of listening, understanding, and delivering customized solutions to meet our clients’ needs. We originally started with the idea to provide cost-effective OCR solutions as a front-end data capture service to payers. That process expanded beyond just a single pass OCR solution to include integrated quality control processes, enhanced validation checks, and business rule transformations. Our services then continued beyond our standard claim form capture processes expanding into non-standard claim forms, correspondence, and enrollment processing as well. We continued growth and expansion and added full clearinghouse functionality to our paper capture processes. All of this creates a full suite of services and features that provides a full front-end intake gateway for our clients consolidating all submission sources and delivering information in the formats needed.
We continue to look toward the future, further enhancing our solution with artificial intelligence, machine learning processes, and continued data capture improvement. We are committed to research and innovation to meet the ever-changing and growing needs of our clients.
In order to provide our clients with the highest levels of security possible, Smart Data Solutions has obtained the HITRUST security certification. This security framework coupled with our SOC audits, internal audits, and other best practices provides the greatest levels of data and operational security. In addition, we have HIPAA compliant facilities which include biometric security access and video surveillance. We also have two highly secure tier IV data centers. We’re constantly performing penetration analysis to ensure our systems are completely secure, making us the most trusted and reliable option for your business.
SDS has a full disaster recovery and business continuity plan in place to effectively react to loss of electrical, loss of network, loss of physical computing facility, loss of employee, and loss of keying facility. The goal of SDS is to restore business continuity within 48 hours of an outage or disaster. SDS maintains a parallel computing infrastructure. Each facility is capable of supporting SDS production. SDS contingency business partners already work some SDS jobs and have high production potential. SDS tests this plan annually.
We continually monitor the regulatory environment to understand the full scope of our compliance responsibilities. When changes are made, we respond well in advance, and test all changes to make sure we remain in compliance.
Smart Data adheres to all HIPAA mandates. All employees are trained on the privacy and security aspects involved with HIPAA and Smart Data has taken precautions to make sure we are HIPAA compliant. Our data centers are highly secure, and our scanning centers have multiple security points prior to access. Our log in requires double user name password along with IP address restrictions.
We are very serious about maintaining compliance with HIPAA security requirements. Specifically, we are SOC 2 type two certified and recently completed an extensive security and penetration audit. In addition, we are an active member of both the EDI standards board and WEDI, for which we attend conferences and participate in educational forums to discuss policy updates. Our entire process is secure and adheres to all HIPAA mandates in each of our services — from the initial image upload, through the data-capture, data-scrubbing, archiving and all the way to the file return and EDI routing. All employees are trained on the privacy and security aspects involved with HIPAA.
We use the above to assess risk after which we prioritize remediation. Many security initiatives are identified internally. For example, we recently implemented password encryption within our database.
Our tools, solutions, and continued research into new AI and machine learning processes help payers nationwide reduce costs, achieve greater process efficiency, and reduce turnaround times.
