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Third Party Administrators (TPAs)

Smart Data Solutions helps you keep ahead of your competition and grow your team by helping to manage costs, benefits, and eligibility. We can provide solutions that help automate data, increase security, and cut out costs associated with time-consuming tasks that could be better used to build relationships and expand your business. These benefits are important to remain competitive and up to par with larger health plans.

Smart Data Solutions has helped TPAs customers cut costs by an average of 36%.

Process Automation Risk Management & Avoidance Cost Reduction

TPAs

Process Automation

Process automation can help to address common issues in the TPA space, including human error and longer turnaround times. Smart Data Solutions offers a variety of technologies that can help you streamline and simplify your document processes. SDS offers mailroom management, data management, and complete clearinghouse services to optimize every part of your business process.

TPAs

Risk Management & Avoidance

The healthcare space is highly regulated and requires the best security to protect data and PHI. At Smart Data Solutions, we pride ourselves on our high levels of quality and efficiency, but also our strict security standards. We are both HITRUST and SOC 2 certified and conduct regular audits, which guarantees that you have the best security for all your PHI and accompanying data.

TPAs

Cost Reduction

Manual operations can create large sums of administrative expenses that can be difficult to manage. Outsourcing to an experienced healthcare automation vendor can help reduce some of the administrative overhead bogging down your current processes. Smart Data Solutions can integrate automation into nearly every step of your current workflow, reducing both the cost and time it takes to process your documents. Leveraging our automation tools allows your organization to reallocate valuable resources to other areas such as customer experience and business growth.

TPAs

Process Automation

Process automation can help to address common issues in the TPA space, including human error and longer turnaround times. Smart Data Solutions offers a variety of technologies that can help you streamline and simplify your document processes. SDS offers mailroom management, data management, and complete clearinghouse services to optimize every part of your business process.

TPAs

Risk Management & Avoidance

The healthcare space is highly regulated and requires the best security to protect data and PHI. At Smart Data Solutions, we pride ourselves on our high levels of quality and efficiency, but also our strict security standards. We are both HITRUST and SOC 2 certified and conduct regular audits, which guarantees that you have the best security for all your PHI and accompanying data.

TPAs

Cost Reduction

Manual operations can create large sums of administrative expenses that can be difficult to manage. Outsourcing to an experienced healthcare automation vendor can help reduce some of the administrative overhead bogging down your current processes. Smart Data Solutions can integrate automation into nearly every step of your current workflow, reducing both the cost and time it takes to process your documents. Leveraging our automation tools allows your organization to reallocate valuable resources to other areas such as customer experience and business growth.

A Strategic Partner for Better Budget Management

Reallocating staff resources can be a helpful contributor to budget management. Smart Data Solutions can be a strategic partner for your organization, allowing you to put your current resources to work in the right places. Partnering with us ensures you can maximize your budget as our automation technology takes care of the taxing manual labor. This also eliminates stressful turnaround times associated with manual processing as our automation tools can help manage the influx of work, regardless of quantity. The scalability of our automation technologies saves budget resources that would otherwise need to be allocated to hiring more staff as your business grows. With more room in your budget, it is easier to focus more energy on building relationships with current and potential clients.

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CLIENT STORY

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 STORY

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 STORY

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

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.”
View Solution

CLIENT TESTIMONY

Brian Janssen

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.”
View Solution

CLIENT TESTIMONY

Matthew Estes

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.”
View 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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