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Suggested Searches electronic dental claim quickclaim clearinghouse 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 Helping You Reconnect Seamlessly Process Claims with Our Clearinghouse Solution Contact Us 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. Watch VideoOur CEO shares our product vision. Watch Video 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 View Solution 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. View Solution Data Capture View Solution 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. View Solution Claims Operations View Solution Claims Operations Business Process Automation (BPA) for Health Plans, TPAs, PPOs, and other healthcare entities nationwide. View Solution Clearinghouse View Solution Clearinghouse Smart Data Solutions offers full clearinghouse services including inbound claims, outbound remittances and CAQH CORE compliant claim status and eligibility responses. View Solution Interoperability View Solution Interoperability Interoperability platform to enable streamlined process and workflows between multiple trading partners. View Solution Prior Authorization View Solution Prior Authorization Prior authorization requirements play an important role in the wise management of medical costs and patient care. View Solution Provider Data/Contract Management View Solution Provider Data/Contract Management Our Provider Data Management suite uses intelligent automation to cleanse Provider Data without the manual effort and potential for errors. View Solution Medical Records View Solution 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. View Solution Enrollment Simplification View Solution 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. View Solution 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. Learn More 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 Helping Providers Build Resilience and Navigate the ... It has been a month and still we continue to navigate the aftermath of the...