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What is a Claims Clearinghouse? A medical claims clearinghouse is a centralized establishment that collects, classifies, and distributes medical claims to the appropriate parties. Essentially, they’re the middlemen between the healthcare providers and insurance payers. Why Do Providers and Payers Use Clearinghouses? There are several reasons why a provider would utilize a claims clearinghouse as […]
Front-end clearinghouse solutions fulfill a vital role in today's healthcare space. A good clearinghouse allows for seamless data exchange between you and your provider networks. This integration gives providers the tools and access necessary to submit, receive, and request information from different systems. Well-run clearinghouse operations will reduce both paper submissions and call center traffic, providing your physicians with the information and services they need.
For Immediate Release CHRIS MUELLER JOINS SMART DATA SOLUTIONS AS THE CLEARINGHOUSE BUSINESS DEVELOPMENT DIRECTOR February 07, 2019 – St. Paul, Minnesota – Smart Data Solutions, a MN based collateral-processing and workflow automation service, is pleased to announce and welcome Chris Mueller as the Clearinghouse Business Development Director. Chris comes with a wealth of experience […]
St. Paul, Minnesota – May 5, 2013 – Smart Data Solutions, announced today their medical claims clearinghouse subsidiary, Smart Data Stream has introduced an enhanced provider clearinghouse portal. Smart Data Stream delivers revenue cycle management and EDI solutions that help physician practices increase profitability. The enhanced portal is said to be the simplest, most intuitive EDI […]
It has been a month and still we continue to navigate the aftermath of the recent cyberattack on Change Healthcare. According to this report on TechTarget, the attack compromised the platform’s ability to process over 15 billion claims annually. Payers face difficulties in receiving and processing claims leaving providers in a challenging situation. Many providers […]
Addressing Concerns and Providing Clarity to Health Plans and TPAs In the wake of the recent cyber security incident, the healthcare industry finds itself at a critical juncture. The cyberattack has disrupted vital transaction flows between providers and payers. The repercussions have been swift and severe, with claims and remittances grinding to a halt, leaving […]