Our Solutions

Smart Data Solutions provides complete front-end pre-adjudication solutions for hundreds of payers nationwide. Whether you need basic services or a completely custom workflow, Smart Data Solutions offers a variety of solutions to meet your unique needs.
Consolidate vendor services Consolidate vendor services
Reduced costs with AI built automation Reduced costs with AI built automation
Increase quality of auto-adjudication Increase quality of auto-adjudication
Streamline your workflow & data endpoints Streamline your workflow & data endpoints
Mailroom Management

Mailroom Management

A mailroom is often the first touch-point for your claim and correspondence workflow. Having timely and accurate processing of these documents is crucial to meeting filing requirements and ensuring that everything is routed to the appropriate downstream processes.
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OCR / Data Capture

OCR / Data Capture

Whether it’s standard claim forms, EOBs, enrollment forms, appeals, or any other type of inbound document, Smart Data Solutions has tools and solutions to capture, validate, and deliver the data in the formats required.
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featured service

Technology Solutions

Integrating machine learning in our processes and product offers several advantages and achieve higher accuracy rates than traditional manual processes.
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EDI / Clearinghouse

EDI / Clearinghouse

Smart Data Solutions offers full clearinghouse services including inbound claims, outbound remittances and CAQH CORE compliant claim status and eligibility responses.
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Medical Claims Routing

Medical Claims Routing

Managing your networks can be a challenge but we can help. We have connections to your primary and wrap networks, as well as any bill review companies needed.
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P&C Workers' Comp

P&C Workers' Comp

Property and casualty payers have unique challenges and need to partner with a service provider that speaks their language.
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Enrollment Solutions

Enrollment Solutions

With solutions for paper capture and electronic file conversions, Smart Data Solutions offers a wide array of enrollment services to help streamline your workflow.
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BeneQuick

BeneQuick

Processing paper can be labor intensive and costly. Learn how our BeneQuick can avoid paper and help streamline the enrollment process.
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1200+
SOWs written per year
7 TONS
of mail per week
500M
transactions annually
400+
Clients

Affiliations and Partnerships

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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 ...”
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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

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 ...”
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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.”
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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.”
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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.”
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Recent Articles

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Revenue Cycle Management + Infographic

Revenue Cycle Management (RCM) is an important part of understanding how providers track their claims submissions, denials, and ...
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Robotic Process Automation & Task Automation: Why They Work ...

Many of you may have heard about robotic processing and task automation but you may have some questions about how these processes ...
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Benefits of Using a Data Capture Provider vs Data Capture ...

Today, we're walking you through some of the pros and cons of both a data capture provider and an off the shelf software solution ...
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Why handle the heavy lifting of your claims workflow when a smart team enhanced by AI can?

Our tools, solutions, and continued research into new AI and machine learning processes help payers nationwide reduce costs, achieve greater process efficiency, and reduce turnaround times.

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