Manual review and rework
When information is incomplete, inconsistent or unstructured, teams spend more time reviewing, correcting and chasing work, driving up administrative cost and slowing turnaround times.
HEALTH PLANS
Streamlined operations powered by actionable intelligence
Health plans are under pressure to process growing volumes of claims, correspondence, attachments, prior authorizations, appeals, provider data and enrollment information without adding operational drag. Smart Data Solutions makes sense of this complexity through our unified intelligent automation platform that captures, structures, validates, routes and automates work across your operations lifecycle.
Fragmented operations are increasing cost, complexity and risk
Intake chaos
Claims, authorizations, appeals, correspondence, attachments and provider updates come into your systems through many channels and formats, forcing teams to classify, validate and route work before processing can begin.
Inefficient legacy systems
Core systems, document queues, transaction flows are siloed and disconnected and operational teams often depend on manual handoffs, creating exceptions, reconciliation work, delays and limited visibility.
The solution
Transform chaotic fragmentation into
trusted efficiency
Conventional methods of dealing with modern healthcare complexity have already failed, and you need an end-to-end solution ensuring data is processed, normalized, and directed across your ecosystem quickly and with accuracy.
Connected solutions built on one AI-Native Platform
Digital Mailroom
Ingest any document–structured and unstructured–across any channel and seamlessly deliver to your teams
Clearinghouse
Count on trusted, end-to-end transaction performance, from intake to remittance
Intelligent Connectivity
Connect and orchestrate operational workflows across your ecosystem
Document Intelligence
Simplify complex documentation into easily understood and actionable information
Intelligent Operations
Combine automation and operational teams to reduce claims backlog and keep performance consistent
Results payers can depend on
24%
Average payer cost savings
500M
Annual transactions
500+
Supported customers
85
Net promoter score
The people component is a strong part of what Smart Data Solutions does well. We felt very supported throughout onboarding and implementation, and the technical support has been timely, accurate and reliable. We’ve been fully operational for almost a year now, and if I had to do it all over again today, I would 100% do it again…
