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Not all clearinghouse solutions are the same, especially when it comes to the Workers’ Compensation and the P&C market. Smart Data Solutions understands these unique requirements:
Associating your bills with claims can be a challenge for some payers. By referencing patient information, accident dates, or any other claim identifiers present on the claim, Smart Data Solutions is able to match received bills to your active claim rosters. This ensures that all bills have an appropriate association made prior to submission to the adjudication systems.
First reports may go by a number of names across the industry: First Report of Injury, First Notification of Loss, etc. No matter the name of the submission, these first reports of injury must be identified and handled appropriately. In some cases, a bill may precede any first reporting and then becomes the first reporting. Having a front-end workflow to identify, track and report all of these first reporting cases quickly and accurately is crucial for the downstream claim management process.
Smart Data Solutions offers a complete front-end workflow for P&C payers. We have solutions for bills, attachments, claim matching, and first reports but we know your needs don’t end there. Let us know what your pain points are, and we can share our expertise and best practices to help find the easiest solutions to your problems.
SDS can perform claim matching for your P&C / Work Comp bills. We can match the bills against your active claim rosters. We can also trigger first report alerts if we detect you may be receiving the bill before any other reports of injury or loss.
Smart Data currently handles e-attachments for a number or our clients. Our system can post these separately or hitched to the primary document.
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.
