Clinics

Smart Data Solutions works with a variety of healthcare clinics and provides tools that allow for easy management of customer information and processing. We can help your clinic automate error-prone manual work, leading to better quality, faster, and more efficient results, with a better customer experience. The Smart Data Stream Clearinghouse allows for seamless data exchange between Payers and Providers, with a Provider platform that makes claim submission, intake, remittance, and tracking easy.

Smart Data Solutions has helped others reduce costs by 25% by adding automation into their processes.

Clinics

SDS Provider Portal

The Smart Data Stream Provider Portal allows Providers to submit claims through automated file feeds, direct data entry, and/or drag-and-drop file uploads. The account will give Providers an easy way to monitor and reconcile all claim submissions, as well as promote full transparency between the Health Plan and the Provider. Smart Data Solutions partners with both Payers and Providers to offer transaction processing at low to no cost for our Providers.

Our Provider Portal allows you to submit and access your claims in one convenient portal. This system includes detailed error reporting to detect fraudulent, excessive, or repetitive claims. In addition, Smart Data Solutions provides dedicated developer support with an unparalleled level of 24/7 service. This fully integrated system can be configured to meet your organization’s needs.

Clinics

Real-time Claim Status Tracking

Our CAQH CORE Certified Provider Portal makes it easy to organize and track all submitted documents. Our portal gives you access to real-time eligibility and claim status requests. We then organize claims chronologically for you, so you always know where they are in the process. Eligibility and claim status requests are clean and straightforward through our simple, easy-to-use search interfaces.

Clinics

EOP to 835 Conversion

Converting your paper EOP to digital 835s increases the accuracy and speed of payment reconciliation. Smart Data Solutions can help you to make this transition, and as the workflow for revenue cycle management becomes more electronic, patients and providers benefit from proper billing and processing. The benefits of EOP to 835 conversions include;

  • Cutting remittance advice processing by 75%
  • A decrease in the room for error
  • More transaction transparency
  • Higher cost savings potential with ERA

Converting EOPs to 835s effectively streamlines both inbound services and processing workflows.

Clinics

SDS Provider Portal

The Smart Data Stream Provider Portal allows Providers to submit claims through automated file feeds, direct data entry, and/or drag-and-drop file uploads. The account will give Providers an easy way to monitor and reconcile all claim submissions, as well as promote full transparency between the Health Plan and the Provider. Smart Data Solutions partners with both Payers and Providers to offer transaction processing at low to no cost for our Providers.

Our Provider Portal allows you to submit and access your claims in one convenient portal. This system includes detailed error reporting to detect fraudulent, excessive, or repetitive claims. In addition, Smart Data Solutions provides dedicated developer support with an unparalleled level of 24/7 service. This fully integrated system can be configured to meet your organization’s needs.

Clinics

Real-time Claim Status Tracking

Our CAQH CORE Certified Provider Portal makes it easy to organize and track all submitted documents. Our portal gives you access to real-time eligibility and claim status requests. We then organize claims chronologically for you, so you always know where they are in the process. Eligibility and claim status requests are clean and straightforward through our simple, easy-to-use search interfaces.

Clinics

EOP to 835 Conversion

Converting your paper EOP to digital 835s increases the accuracy and speed of payment reconciliation. Smart Data Solutions can help you to make this transition, and as the workflow for revenue cycle management becomes more electronic, patients and providers benefit from proper billing and processing. The benefits of EOP to 835 conversions include;

  • Cutting remittance advice processing by 75%
  • A decrease in the room for error
  • More transaction transparency
  • Higher cost savings potential with ERA

Converting EOPs to 835s effectively streamlines both inbound services and processing workflows.

Benefits of Medical Clearinghouses

Outsourcing your document processing to Smart Data Solutions can drastically increase quality and turnaround times, reducing the burden on both Payers and Providers. Relying solely on human capital with redundant or time-consuming claims processes is detrimental to an organization’s budget and well-being. The Smart Data Stream Clearinghouse helps improve and speed up document processing, which increases cash flow and speeds up the billing cycle.

Learn More 
9 TONS
of mail per week
500M
Transactions Annually
85
Net Promoter Score
500+
Clients
icon

CLIENT TESTIMONY

Debbie Ziegler

“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs ...”
View Story
icon

CLIENT TESTIMONY

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
icon

CLIENT TESTIMONY

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 ...”
View Story

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

Recent Articles

View All 

Healthcare Automation Leader Smart Data Solutions Has Been ...

EAGAN, Minn., Feb. 1, 2023  -- Smart Data Solutions (SDS), a technology leader in healthcare process automation for front, ...
Read Article

Healthcare EDI Trends in 2023 and Beyond

Electronic Data Interchange (EDI) has become an increasingly important technology in the healthcare industry, especially in ...
Read Article

Prioritize Patients with High-Touch Healthcare Claims ...

What do today's patients care about? The National Library of Medicine concluded patients evaluate their healthcare experiences ...
Read Article

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.

Start Customizing Your Solution