sdata.us Open in urlscan Pro
104.196.130.204  Public Scan

Submitted URL: https://jmsassoc.com/
Effective URL: https://sdata.us/
Submission: On October 18 via api from IN — Scanned from CA

Form analysis 3 forms found in the DOM

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Text Content

Suggested Searches

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Who We Are Who We Serve What We Do Resources Careers Quick Claim Provider Portal
Contact Us

Who We Are Who We Serve What We Do Resources Careers Quick Claim Provider Portal
Contact Us

Suggested Searches

electronic dental claim quickclaim clearinghouse





ARE YOU STRUGGLING WITH PAPER CLAIMS?

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INDUSTRY LEADER IN HEALTHCARE PROCESS AUTOMATION

Smart Data Solutions is your strategic partner in healthcare process automation
utilizing data, AI and automation to digitally transform operations and deliver
outcomes for our clients which reduce costs, streamline workflows, and improve
overall customer experience.
Our CEO shares our product vision.
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OUR SOLUTIONS

Data, AI and automation are the foundational layer for our products and
solutions. With exceptional capabilities in intelligent document management,
workflow and connectivity, Smart Data Solutions offers a variety of products and
solutions to address your unique needs.


DIGITAL MAILROOM

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DIGITAL MAILROOM

A mailroom is often the first touch-point for your claim 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.

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DATA CAPTURE

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DATA CAPTURE

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

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CLAIMS OPERATIONS

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CLAIMS OPERATIONS

Business Process Automation (BPA) for Health Plans, TPAs, PPOs, and other
healthcare entities nationwide.
 

 
  

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CLEARINGHOUSE

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CLEARINGHOUSE

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

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INTEROPERABILITY

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INTEROPERABILITY

Interoperability platform to enable streamlined process and workflows between
multiple trading partners.
 
 
 

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PRIOR AUTHORIZATION

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PRIOR AUTHORIZATION

Prior authorization requirements play an important role in the wise management
of medical costs and patient care.
 
 
 

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PROVIDER DATA/CONTRACT MANAGEMENT

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PROVIDER DATA/CONTRACT MANAGEMENT

Our Provider Data Management suite uses intelligent automation to cleanse
Provider Data without the manual effort and potential for errors.
 

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INTELLIGENT MEDICAL RECORDS

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INTELLIGENT MEDICAL RECORDS

Large document sizes and manual administrative work makes handling medical
records onerous and time-consuming. Partnering with an automation expert can aid
medical record indexing, categorization, and analysis.

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ENROLLMENT SIMPLIFICATION

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ENROLLMENT SIMPLIFICATION

With solutions to automate the front-end component of your enrollment intake,
Smart Data Solutions helps streamline your workflow and focus on growth.
 
 

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OUR TECHNOLOGY SETS US APART

Our robust computer models achieve higher accuracy rates than traditional manual
processes. These processes improve scalability and handle volume fluctuations
more easily than traditional and manual counterparts. Thus, delivering
consistent performance, accuracy, and efficiency.

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OUR PROCESS AND TECHNICAL CAPABILITIES

We have developed a framework that easily guides you through each step of your
project to ensure the best position for overall success. We apply machine
learning and automation into almost every aspect of our business to ensure a
smooth process and yield successful results that are on time and on budget.

Our Process 



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 ...”
View Story



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
...”
View Story



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




CLIENT TESTIMONY


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


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



CLIENT TESTIMONY


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


RECENT ARTICLES

View All 




SMART DATA SOLUTIONS ANNOUNCES SMART HORIZONS HEALTHTECH ...

Bloomington, MN — October 01, 2024 — Smart Data Solutions (SDS) is excited to
announce the Smart Horizons HealthTech ...
Read Article


AI-POWERED EFFICIENCY IN HEALTHCARE AUTOMATION

Join us for our three-day HealthTech Symposium, where you’ll have the chance to
dive deep into AI and automation-focused ...
Read Article


BEING A STRATEGIC PARTNER YOU CAN TRULY RELY ON

We are happy to announce the expansion of our partnership with Network Health
for AI and automation driven clearinghouse ...
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.  

Contact Us



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