Smart Data Solutions
Member Level: BronzeVendor Overview
Description of Services: As a technology leader in healthcare process automation and interoperability, Smart Data Solutions (SDS) is a strategic partner that utilizes data and intelligent automation to digitally transform operations and deliver outcomes for clients which reduces costs, streamlines workflows, and improves overall customer experience.
Smart Data Solutions has a specialized approach to data capture, and automation and has focused on creating innovative solutions specifically to meet the needs of the healthcare market. Today, more than 500 clients, including multiple Health Plan Alliance members, Medicaid and Medicare plans, regional health plans, TPAs, and healthcare partners, depend on SDS to help streamline complex parts of the front, middle and back-office operations.
Primary Service: Automation, Workflow and IT Services
Secondary Service: Claims
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2900 Lone Oak Pkwy
Eagan, MN 55121
651-894-6400
http://www.sdata.us
Documents
How Automation Is Redefining Outsourced Claims Management _ Smart Data Solutions
How Automation is Redefining Outsourced Claims Management Claims management sits at the heart of healthcare operationsâ??complex, high-stakes, and full of opportunity. But traditional methods are increasingly inefficient, error-prone, and resource-heavy. Thatâ??s where automation-enabled outsourcing is stepping in as a game changer. Whatâ??s inside this blog? This Everest Group-authored piece breaks down: â?¢ The pitfalls of traditional claims handling â?¢ The core steps in the claims lifecycle â?¢ How automation is enhancing outsourced claims services across five key areas: 1. Plan, Pricing & Benefit Configuration â?? using AI & ML to drive smarter plan setups 2. Claims Intake â?? leveraging OCR, NLP, and chatbots for seamless data capture 3. Claims Processing & Disbursement â?? powered by RPA and AI to boost speed and accuracy 4. Post-Payment Audits â?? AI-driven insights to catch anomalies and errors 5. Appeals Management â?? NLP and ML enabling faster triage and Level 1