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In the last few decades, the healthcare industry has continually improved automation, reducing manual processes, and increasing accuracy. Moving away from paper records and converting them to electronic is changing the way patients receive care, how insurance claims are processed, and how quickly providers and physicians can process forms and claims in general. Major errors […]
Electronic claims attachments, or eAttachments, are additional documents that go along with a medical claim that does not fit into the constraints of the claim itself. The attachments provide supplemental information the claims processor will use in processing the claim. These may include operative and discharge summary forms associated with the procedure claim, a Certificate […]
Are you looking for a quiet, casual work environment? Do you have strong attention to detail and a can-do attitude? If so, this may be the job for you! As a technology leader in healthcare process automation and interoperability, Smart Data Solutions (SDS) is a strategic partner that utilizes data and intelligent automation to digitally […]
RFPs, or Request for Proposals, are documents used when a business is seeking vendors for an upcoming project. For example, a hospital wants to build an additional wing and they need to contract out a construction company, electricians, interior designers, and other vendors to make it happen. They would put out an RFP providing all […]
Although the reasons for change may seem apparent to some, oftentimes convincing your board, or other key decision-makers, to adopt new processes or changes can be a challenge. Here are some of the benefits of adopting a single vendor gateway, and some tips on how to convince your team to switch to a more streamlined […]
Medical claims adjudication refers to the determination of the payer’s responsibility with respect to the member’s benefits and provider payment arrangement. The insurance company has a few actions it can take – they either pay the full amount of the claim, deny the claim, or reduce the amount that is paid to the provider per […]