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There are two options to submit a claim through the Smart Data Stream Clearinghouse Portal. You can either upload a claim file or you can do Direct Data Entry (DDE) and key in a new claim. When uploading, you have the ability to upload claims in batches to the portal. As long as it’s a valid 837 file and has a payer ID in the REF02 segment, SDS will successfully route your claims to the payer. With DDE you can choose a Professional/CMS1500, Institutional/UB04, or Dental claim form. Once the claim type has been selected, it will bring up a template for the claim information to be typed into.
To assist with ERA routing, we are offering our current trading partners the option to perform bulk provider enrollment through SDS. We will accept any file format from our trading partners that include the proper data elements listed:
Providers are able to use the open enrollment link to create an account and enroll. Once enrolled, they will have the option to select the trading partner that they would like to have ERAs sent to.
To do an eligibility inquiry, the Provider will have to add the Payer to their eligible Payers.
To do a claim status inquiry, the Provider will have to add the Payer to their claim status Payers.
Contact Information:
Additional Information:
Yes. A single account can have any number of TIN/NPI combinations.
No, the ERA enrollment is only if you'd like to receive ERAs. If your account is redirecting you to the ERA enrollment page when you first log in and you don't wish to sign up for ERAs, you may disregard this and go straight to the section you need using the top menu bar.
The most common reason for a general error when trying to submit is that no payers have been selected yet. Confirm that the payer you want to connect with has been selected in the Update Payers section of that page.
If all required fields of the ERA enrollment form are filled out, but you're still getting an error when submitting, check to make sure that there aren't any empty lines in the Payer Selection area. If there are any empty lines, click on the X to the right to remove it.
These empty lines are from Payers you were previously enrolled for, but who have since discontinued service.
The ERA enrollment is not retroactive and will only start receiving ERAs for payments issued at least three days after you enrolled. For any previous payments, you'll want to contact the payment vendor or insurance company directly. All ERAs will appear under the Remits tab.
Usernames cannot be changed, but if you'd like a different one you can create a new user for yourself. First use the +Add New User button on the Users page under Account Management. After you've created the user, click on Edit User and grant that user Admin Access.
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