Experts in Healthcare Data

Smart Data Solutions is an expert at simplifying the claims workflow. For over 20 years, we have partnered with more than 400 Payer organizations to provide standardized and accurate data that drives efficient operations. Our 80+ in-house technologists have seen it all and are a go-to resource for customers looking to address the complexity across claims-related workflows.
Our advanced technology and solutions standardize data and automate healthcare’s most intractable administrative challenges. We can help our customers identify root causes behind their inefficiencies, streamline, structure, and normalize data feeds from disparate sources, configure workflow solutions that continuously improve and adapt, and deliver end-to-end results that drive efficient operational performance and reduce costs.

 

Mailroom Management

A mailroom is often the first touchpoint for your claims and correspondence workflow. Having timely and accurate processing of these documents is crucial to meeting filing requirements and ensuring that everything is routed to the appropriate downstream processes.

 

EDI/Clearinghouse

Smart Data Solutions offers full clearinghouse services including inbound claims, outbound remittances and CAQH CORE compliant claim status and eligibility responses.

 

Medical Claims Routing

Managing your networks can be a challenge but we can help. We have connections to your primary and wrap networks, as well as any bill review companies needed.

 

OCR/Data Capture

Whether it’s standard claim forms, EOBs, enrollment forms, appeals, or any other type of inbound documents, Smart Data Solutions has tools and solutions to capture, validate, and deliver the data in the formats required.

 

Watch Our Overview Video!