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There are two options to submit a claim through the Smart Data Stream Provider 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/CMS150, 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 set up ERA routing, you will have to fill out the enrollment form with the following:
You will have the option to select the Payers and Trading Partner that you would like to have ERAs sent to. Once you’ve set these options, sign and submit your application.
Note: For the effective date, the soonest date available will be three days after the submission date. Any payments you receive after that submission date will have a corresponding ERA sent to your account.
To do an eligibility inquiry, you will have to add the Payer to your eligible Payers.
To do a claim status inquiry, you will have to add the Payer to your claim status Payers.
Smart Data Stream’s Provider Portal allows for easy access to connected Payers’ real-time information systems. Our portal has claim status and eligibility interfaces that allow you to get the information they need on-demand without calling in requests. This information is in a clean and straightforward display. The back-end connections fulfill the requests over the CAQH CORE 270/271 and 276/277 protocols, maintaining compliance with the real-time information request mandates.
Smart Data Solutions integrates with Payers and Providers nationwide, offering a host of solutions to make clearinghouse connections easier.
Sign up for our Provider Portal
Provider Portal Companion Guide
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.
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.
