What types of edits and reject conditions are in place? Does SDS work off a base edit and reject conditions template?

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

Yes, SDS starts with our standard edits and reject conditions for each form type. Please keep in mind this is just a start, though. We ultimately implement edits and reject conditions per client requirements and per client adjudication system. We can loosen or tighten reject conditions as clients see fit. This part of the process is determined during testing. Our “Edit Now” framework enables rapid development of custom edits.

Recent Articles

View All 

Patient Experience - What It is, Why It Matters & How To ...

When it comes to healthcare—whether providing services or facilitating the process of those services, providing ...
Read Article

Healthcare Clearinghouse: What it is and How it Can Help

A healthcare clearinghouse is essentially the middleman between the healthcare providers and the insurance payers. A ...
Read Article

5 Best Practices for Automation in Healthcare

Automation and healthcare tend to go hand in hand these days. With continual advancements in technology, digitization of ...
Read Article

Why handle the heavy lifting of your claims workflow when a smart team enhanced by AI can?

Achieve peace of mind, reduced costs, and greater process efficiency by automating and consolidating your data workflow.

Start Customizing Your Solution