Smart Data Solutions

Smart Data Solutions offers a variety of healthcare workflow automation solutions to improve claims quality and efficiency while lowering costs. By combining data, AI and automation, the company is helping to digitally transform operations, improve customer satisfaction and drive better outcomes for its clients.

Smart Data Solutions solves many healthcare process problems with products and services including:

• Digital Mailroom: Accurate and timely processing of documents for filing and downstream processing.
• Data Capture: Extraction, validation and delivery of data from inbound documents in the required format.
• Claims Operations: Business Process Automation (BPA) for health plans, TPAs, PPOs and other healthcare organizations.
• Clearinghouse: Full clearinghouse services including inbound claims, outbound remittances and CAQH CORE compliant claim status and eligibility responses.
• Interoperability: Facilitated processes and workflows between multiple trading partners.
• Prior Authorization: Management of prior authorization requirements for medical expenses and patient care.
• Provider Data Management: Intelligent automation for cleansing provider data with no manual intervention.
• Medical Records: Efficient processing of large file sizes and administrative tasks for medical record indexing, categorization and analysis.
• Enrollment Simplification: Automation of front-end enrollment intake to streamline workflow and focus on growth.

These solutions utilize strong computer models that outperform manual processes in terms of accuracy and can handle volume fluctuations with ease and consistency. The technologies used include machine learning and automation to provide seamless processes and successful outcomes on time and on budget.

Smart Data Solutions has helped numerous healthcare organizations across the country reduce costs and improve process efficiency. Customers have reported savings of up to 80% and improved quality levels, with benefits including comprehensive service suites that make operations easier to manage.

Whether you're looking to improve claims operations, enhance interoperability or simplify enrollment, Smart Data Solutions offers a variety of tools and services to help healthcare organizations improve efficiency and accuracy.

Published on July 10, 2024