About Us

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 its inception in 2000 to the 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 to grow and expand 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 solutions 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.