If I terminate my current clearinghouse and migrate to SDS, will rejected claims that get sent to my current clearinghouse be dropped to paper? How does SDS manage this?

Posted by Smart Data Solutions on January 13th, 2020
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Smart Data Solutions

For a short period of time (1 month after go-live) some claims could be dropped to paper and mailed to SDS. SDS will designate a PO Box for these claims, and perform OCR/data capture to convert to 837. SDS will also perform outreach in conjunction with the payer to identify the providers that have fallen through the cracks and continue to submit EDI to the wrong clearinghouse. Through outreach efforts, we eventually get all providers to submit EDI correctly, thus, eliminating EDI claims that get rejected at clearinghouses and drop to paper.

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