A 10 year old, Minnesota-based S corporation, Smart Data Solutions provides health care payers and networks with front-end claims processing services and EDI solutions for medical claims processing.
Mission Statement
At SDS, our mission is to make the health care market more efficient by leveraging technology to provide effective, high-quality claims processing solutions. Along the way, we are committed to providing an unparalleled level of customization, which we feel is imperative in our changing market. Finally, we place great value on providing personalized service. We bring a comprehensive set of tools and processes to every opportunity, which we carefully configure to the individual needs of each customer.
SDS has been managing healthcare claims transactions for over 11 years. Our services have helped more than 140 health care payers, providers and networks across the United States reduce costs, decrease turn-around time, improve payment accuracy, and increase process capability and control. We achieve these benefits by leveraging our IT and claims expertise – specifically, by streamlining and automating client transaction management.
History
We were founded ten years ago in St. Paul Minnesota. Since then, we have experienced nearly 35 consecutive quarters of growth. Our customer base includes both large and small organizations.
Future
Our long-term philosophy is to continue to reinvest in the company, to expand the depth and breadth of our service offerings, and to assure our clients continued efficiencies regardless of the changes taking place in our market.
HIPAA Compliant
We maintain HIPAA compliance with regard to security standards, technical standards, and privacy. As business associates, we maintain strict adherence to HIPAA privacy standards. With regard to technical standards, we have certified our 837 transaction with both ClarEDI and HIPAADESK.
Partners
InstaMed
InstaMed is a real-time clearinghouse and payment processor for healthcare. Our patent pending platform and network handle real-time eligibility to over 430 payers, real-time claims and electronic payments from patients and payers. InstaMed integrates the healthcare and financial networks by delivering seamless connectivity between Healthcare Providers, Billing Services, Vendors, Health Plans, Payers, Banks and other financial entities. InstaMed supports Claims, Eligibility, Status, Remittance, Credit, Debit, eCheck and ACH transactions in both real-time and batch modes.
www.instamed.com
Global Claims Resources
Global Claim Resources (“GCR”), based in Scottsdale, Arizona, is a privately held company. GCR is dedicated to providing cost-effective, quality health care management solutions to health insurance companies, property and casualty insurance companies, third party administrators and self-insured corporations.
www.gcrinc.com
Captovation
Captovation, Inc. of Minneapolis, Minnesota specializes in the design and development of document capture products for the document management industry. The company prides itself on providing reliable, high-performance software programs and custom integration solutions that enable paper-intensive organizations to streamline their document capture processes.
www.captovation.com
Claredi
In 2001, we pioneered transaction validation under HIPAA with the first online healthcare transaction validation system. It soon became clear that the value of Claredi's unique validation approach could be even more valuable.
www.claredi.com
Atomic
ATOMIC has been in the network service and data service business since 2001. Over time, we have built a reputation as an IT partner chiefly concerned about the success of your company. ATOMIC dedicates 100% of its connectivity to business-only clients. This means the integrity, availability and speed of our network is consistent and unburdened by residential users. We offer DSL, T1, DS3 and Metro Ethernet to clients in the Twin Cities metro area.
www.atomicdatacenters.com
Memberships
Workgroup for Electronic Data Interchange (WEDI)
WEDI was established in 1991 in response to the challenge to bring together a consortium of leaders within the healthcare industry to identify practical strategies for reducing administrative costs in healthcare through the implementation of EDI. WEDI quickly became a major advocate in promoting the acceptance and implementation of the standardization of administrative and financial health care data and helped secure passage of the Health Insurance Portability and Accountability Act (HIPAA) in 1996. Today, WEDI's membership includes providers, health plans, consumers, vendors, government organizations, and standards groups committed to the implementation of electronic commerce in healthcare and EDI standards for the healthcare industry.
www.wedi.org
Accredited Standards Committee (ASC) X12
The Accredited Standards Committee (ASC) X12, chartered by the American National Standards Institute in 1979, develops electronic data interchange (EDI) standards and related documents for national and global markets. With more than 315 X12 EDI standards and a growing collection of X12 XML schemas, ASC X12 enhances business processes, reduces costs and expands organizational reach. ASC X12's diverse member base includes 3,000+ standards experts representing over 340 companies from multiple business domains, including communications, finance, government, insurance, supply chain and transportation.
www.x12.org
Self-Insurance Institute of America (SIIA)
SIIA is a dynamic, member-based association dedicated to protecting and promoting the business interests of companies involved in the self-insurance/alternative risk transfer (ART) industry, both domestically and internationally.
www.x12.org
America's Health Insurance Plans (AHIP)
AHIP is the national association representing nearly 1,300 member companies providing health insurance coverage to more than 200 million Americans. Member companies offer medical insurance, long-term care insurance, disability income insurance, dental insurance, supplemental insurance, stop-loss insurance and reinsurance to consumers, employers and public purchasers.
www.ahip.org
National Small Business Association (NSBA)
NSBA is a national nonprofit membership organization founded in 1937, representing America's Small Business Companies and Entrepreneurs. Reaching more than 1500,000 small businesses, NSBA is proud to be the first national small-business advocacy organization in the United States. The organization represents all sectors and industries of the U.S. economy from retail to trade to technology. NSBA advocates on their behalf before the Executive Brand, the Small Business Administration, Congress, and state regulatory and legislative bodies.
www.nsba.biz
National Federation of Independent Business (NFIB)
The NFIB is the leading small business association representing small and independent businesses. A nonprofit, nonpartisan organization founded in 1943, NFIB represents the consensus views of its members in Washington and all 50 state capitals. NFIB's mission is to promote and protect the right of our members to own, operate and grow their businesses.
www.nfib.com
Saint Paul Area Chamber of Commerce
The Saint Paul Area Chamber of Commerce is a dynamic network of businesses and individuals organized to deliver economic opportunity for its members. Nearly 1,500 Twin Cities companies of all sizes and industries, as well as not-for-profit and government organizations, belong to the Chamber. Member-driven programs, initiatives and policies create a platform for business connections, professional development and community involvement.
www.saintpaulchamber.com
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