Our Process and Technical Capabilities

Throughout 20+ years in business and 400 clients, Smart Data Solutions has managed and implemented thousands of diverse and complex projects. We have learned which best practices lead to successful projects, and which ineffective and outdated practices put projects at risk. Our time-tested model yields successful implementation results and to us that means on-time, on-budget, and aligned with your business goals. Whether you are new to working with Smart Data Solutions or you are a long-time partner, our development process helps guide you through projects to ensure the best possible position for overall success.

A Stress-Free Process to Automate Your Healthcare Data

Whether you’re new to Smart Data Solutions or a long time partner, our development process helps guide you through projects to ensure the best possible position for overall success.
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2
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STEP #1

Discovery and Understanding

Initial Contact and Solution Scope

Whether your needs are basic or complex, our staff will work with you to understand your needs and the impacts of your workflows.  We believe in focusing on your goals, what you want to accomplish, and from that, identifying the best way to get there.

STEP #2

Solutions and Best Practices

The Right Tools for the Job

Smart Data Solutions has worked with hundreds of healthcare clients nationwide.  We leverage that experience to provide solutions to best meet your needs.  We know what works, what doesn’t work, and can offer guidance on developing a solution that works for you.

STEP #3

Services and Support

Ongoing Direct Customer Support

We believe that the developers who designed and implemented your workflow are in the best position to maintain that workflow.  That is why we continue to provide direct access to our staff to provide ongoing service and support for your account. We take great pride in providing outstanding customer service to meet your current and future needs.

STEP #1

Discovery and Understanding

Initial Contact and Solution Scope

Whether your needs are basic or complex, our staff will work with you to understand your needs and the impacts of your workflows.  We believe in focusing on your goals, what you want to accomplish, and from that, identifying the best way to get there.

STEP #2

Solutions and Best Practices

The Right Tools for the Job

Smart Data Solutions has worked with hundreds of healthcare clients nationwide.  We leverage that experience to provide solutions to best meet your needs.  We know what works, what doesn’t work, and can offer guidance on developing a solution that works for you.

STEP #3

Services and Support

Ongoing Direct Customer Support

We believe that the developers who designed and implemented your workflow are in the best position to maintain that workflow.  That is why we continue to provide direct access to our staff to provide ongoing service and support for your account. We take great pride in providing outstanding customer service to meet your current and future needs.

Machine Learning Integration

While machine learning can be integrated into a number of different processes, the path to integration is similar across the board. Initially using a corpus of known materials, the machine-driven processes record these pilot examples. From there the models use the data to provide suggestions to human processors who make the final determinations. The machines learn from these user selections and over time the processes reach sufficient confidence and accuracy to perform the process themselves, automating certain cases. The final step comes with the machine models taking on the bulk of the work in an automated fashion only allowing the rare edge cases and the routine audit level of documents to post for human review.

Areas where Machine Learning is being used

Mail Processing

Machine learning allows Smart Data Solutions’ mailroom staff to avoid the time-consuming work of manually sorting incoming mail by form and type. This process allows any staffer to quickly prepare and scan inbound mail, leaving the sorting to our automated systems. This automation improves both overall processing time and accuracy.

Correspondence Identification

Different types of correspondence need to be routed to appropriate departments or individuals, and some categories, such as appeals and legal documents, need to be processed with a higher priority than others. Our technology “learns” your correspondence mix, and can quickly and automatically identify the category, priority, and destination of thousands of documents in just minutes.

Data Capture

Normally, data fields captured with low confidence by traditional OCR engines need to be manually reviewed or keyed by a human. With our machine models, we can drive down the number of fields requiring manual intervention, which provides continuous improvement in data capture accuracy and throughput.

Mail Processing

Machine learning allows Smart Data Solutions’ mailroom staff to avoid the time-consuming work of manually sorting incoming mail by form and type. This process allows any staffer to quickly prepare and scan inbound mail, leaving the sorting to our automated systems. This automation improves both overall processing time and accuracy.

Correspondence Identification

Different types of correspondence need to be routed to appropriate departments or individuals, and some categories, such as appeals and legal documents, need to be processed with a higher priority than others. Our technology “learns” your correspondence mix, and can quickly and automatically identify the category, priority, and destination of thousands of documents in just minutes.

Data Capture

Normally, data fields captured with low confidence by traditional OCR engines need to be manually reviewed or keyed by a human. With our machine models, we can drive down the number of fields requiring manual intervention, which provides continuous improvement in data capture accuracy and throughput.

22,000
documents processed per day
65,000
images processed per day
80+
different models in production
80
hours saved per week for some models
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CLIENT TESTIMONY

Brian Janssen

“Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. The development ...”
View Story
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CLIENT TESTIMONY

Debbie Ziegler

“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs ...”
View Story
icon

CLIENT TESTIMONY

Matthew Estes

“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us ...”
View Story

CLIENT TESTIMONY

Brian Janssen

VP, System Solutions
“Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. The development and execution of these solutions is always done partnered with the business leaders to ensure meaningful improvements are achieved. Because of that, Smart Data is considered a valuable partner by business leaders. When we start a Smart Data initiative, as a corporate leader I do not have to worry about whether the outcome will be successful.”
“Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. The development and execution of these solutions is always done partnered with the business leaders to ensure meaningful improvements are achieved. Because of that, Smart Data is considered a valuable partner by business leaders. When we start a Smart Data initiative, as a corporate leader I do not have to worry about whether the outcome will be successful.”
View Solution

CLIENT TESTIMONY

Debbie Ziegler

Executive Director of Operations
“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs automated routing to PPOs and networks, thereby ensuring that we expediently maximize client discounts. SDS also does pre-adjudication edits, such as member and provider matching. Finally, SDS provides custom IT services such as file format conversion and transfer for our Amerihealth and BCI partnership claims. SDS has a comprehensive service suite thereby allowing “one-stop shopping’ for all our front-end services. This is both cost-effective and much easier to manage. In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. The process runs smoothly without much intervention. When we do have an issue they are quick to respond with a solution.”
“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs automated routing to PPOs and networks, thereby ensuring that we expediently maximize client discounts. SDS also does pre-adjudication edits, such as member and provider matching. Finally, SDS provides custom IT services such as file format conversion and transfer for our Amerihealth and BCI partnership claims. SDS has a comprehensive service suite thereby allowing “one-stop shopping’ for all our front-end services. This is both cost-effective and much easier to manage. In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. The process runs smoothly without much intervention. When we do have an issue they are quick to respond with a solution.”
View Solution

CLIENT TESTIMONY

Matthew Estes

Chief Information Officer
“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. No matter how complex the setup and routing, SDS has always been able to make it work for us.”
“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. No matter how complex the setup and routing, SDS has always been able to make it work for us.”
View Solution

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