Health Plans

Partnering with Smart Data Solutions gives you the capability to consolidate your vendors in a way that supports all lines of business, whether it be commercial, government, federal, Medicare, Medicaid, or something else. With over 20 years of experience, we recognize the nuances of each industry and are equipped to provide solutions that cater to your unique business needs.

Through our OneStream Managed Gateway, you can manage and view all relevant data, both paper and electronic. Our solutions also help to manage EOBs/EOPs, Medicare crossover, and consolidated remittances all in one convenient place. Additionally, this platform simplifies paper and EDI transaction processing for healthcare Payers, creating a centralized stream of inbound transactions to improve auto-adjudication rates with full transparency and reconciliation.

Manual workflows are more expensive and time-consuming than their automated counterparts. Electronic transactions help to alleviate the headache of using paper by providing faster turnaround times, easier communication between Payers and Providers, and significantly scaling down administrative work. Smart Data Solutions not only helps to handle pre-existing EDI transactions but can also help your organization convert any paper document into structured and standardized formats, effectively streamlining your workflows by cutting costs on any paper in your process. 

Smart Data Solutions can automate your mailroom and data capture processes using proprietary technology, providing the highest level of automation in the industry. We have the capability to pull any data from healthcare documents while accounting for business rules and other caveats using Deep Learning and Statistical Machine Learning models, as well as 4 different OCR engines, and over 1,000 proprietary edits.

Outsourcing and consolidating vendors result in enhanced stability and security, which allows for better compliance. Smart Data Solutions is both HITRUST and SOC 2 certified, and we conduct annual audits internally to ensure the utmost security for all our clients. Additionally, SDS conducts annual risk assessments and has an entire security team dedicated to ensuring all sensitive information is protected.