Smart Data Solutions

Smart Data Solutions Smart Data Solutions has been managing healthcare claims transactions for over 20 years.

At Smart Data Solutions, our mission is to make the healthcare market more efficient by leveraging technology to provide effective, high-quality claims processing solutions. We bring a comprehensive set of tools and processes to every opportunity, which we carefully configure to the individual needs of each customer. Our services have helped nearly 400 healthcare payers, providers, and networks ac

ross the United States reduce costs, decrease turnaround 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.

06/24/2026

Provider calls are often a sign that something upstream is not clear enough.

1 eligibility question | 1 missing payment detail | 1 claim status follow-up | 1 Provider trying to understand what happened next.

Each call may seem small, but across payer operations, they add up quickly.

That is why stronger clearinghouse connectivity matters.

This week we added 5 additional payer connections.
✔ 5 Claims connections - 837
✔ 3 ERA connections -835
✔ 2 Real-Time Eligibility connections
✔ 1 Claim Status connection

For your teams, this can mean fewer avoidable provider inquiries, better visibility into claim status, faster provider reconciliation through ERA, and less confusion before services are delivered.

Explore the full network: https://hubs.li/Q04mw_fd0

The best provider call is the one your team never has to take.

Want to see how stronger connectivity can reduce provider abrasion in your operations? Let’s connect.

Smart Data Solutions has renewed CORE Certification for Eligibility & Benefits, Claim Status, Payment and Remittance thr...
06/18/2026

Smart Data Solutions has renewed CORE Certification for Eligibility & Benefits, Claim Status, Payment and Remittance through 2029.

These transaction workflows run every day, but even small gaps can lead to more follow-up, provider questions, rework and operational friction.

As payer organizations continue to evaluate clearinghouse performance, consistency and automation are more important than ever.

We’re offering a complimentary 30-minute assessment to help identify where your transaction workflows may be creating friction and how they can be made more efficient, connected and consistent.

Schedule your assessment today. https://hubs.li/Q04lT0C90

AI ROI is not measured by excitement, It is measured by operational outcomes:Faster turnaround time | Lower cost per tra...
06/16/2026

AI ROI is not measured by excitement, It is measured by operational outcomes:

Faster turnaround time | Lower cost per transaction | Improved accuracy |Reduced exceptions |Better FTE efficiency |Stronger compliance adherence | Improved provider and member experience

Healthcare organizations are moving from AI experimentation to AI accountability.

Join our ACAP webinar on June 17 to learn what it takes to operationalize AI across healthcare payer and TPA workflows.

Register here: https://hubs.li/Q04lCCZY0

This week, Smart Data Solutions has added: *5 new payer connections* ✔ 5 Claims connections - 837✔ 1 ERA connection - 8...
06/11/2026

This week, Smart Data Solutions has added: *5 new payer connections*
✔ 5 Claims connections - 837
✔ 1 ERA connection - 835
✔ 1 Real-Time Eligibility connection
✔ 1 Claim Status connection

View the full payer list: https://hubs.li/Q04l25Fw0

Most claim delays do not begin at adjudication. They usually start much earlier with the data coming in.

1 missing field | 1 eligibility gap | 1 routing issue | 1 extra touch before the claim can move forward

That is where small issues start turning into rework, exceptions, provider calls, and slower decisions.

This is why stronger clearinghouse connectivity matters.

With stronger connectivity, your teams can start with cleaner claim data, reduce the back-and-forth, and spend less time on manual fixes or eligibility-related calls.

The result is simple: fewer downstream issues, smoother operations, and faster decisions with more confidence. Better data in. Faster decisions out.

Healthcare operations are at an inflection point, and the industry needs forward-thinking leaders who can take the indus...
06/09/2026

Healthcare operations are at an inflection point, and the industry needs forward-thinking leaders who can take the industry to the next level of transformation and change.

That’s why we’re excited to announce the addition of new, innovative leaders who are joining the SDS team. Making this change now allows us to strengthen the foundation behind how our platform is built, scaled, and delivered. Investing in site reliability, operational excellence, and architecture ensures we meet the increasing demands of the market.

Here are the leaders joining the team and an overview of the role they’ll play in shaping what comes next:

Erik Olson: Vice President Site Reliability Engineering

Vicki Lee: Vice President Technology & Process Excellence

Sergei Komarov: Chief Architect

To learn more about how Smart Data Solutions can deliver workflow automation for your business, contact us here https://hubs.li/Q04kM0nZ0

Many AI initiatives do not fail because the model is weak. They fail because the operation is not ready.Healthcare payer...
06/04/2026

Many AI initiatives do not fail because the model is weak. They fail because the operation is not ready.

Healthcare payers and TPAs are under pressure to move AI beyond experimentation and into scalable, governed workflows.

But AI often stalls when data is fragmented, workflows are inconsistent, legacy systems limit integration, and ROI is not clearly measured.

Our upcoming ACAP webinar with Patrick Bores explores what it takes to move from AI pilots to operational impact.

Beyond the Buzz: Operationalizing AI in Healthcare
From Experimentation to Scalable Impact

Date: June 17 | Duration: 60 minutes
Reserve your seat: https://hubs.li/Q04k6Kr40

The AI pilot phase is over.Healthcare organizations have tested AI. Now comes the harder challenge: making it work acros...
05/27/2026

The AI pilot phase is over.

Healthcare organizations have tested AI. Now comes the harder challenge: making it work across real operations, real workflows, real data, and real compliance environments.

Join Patrick Bores, VP Engineering & Innovation at Smart Data Solutions, for an ACAP webinar:

Beyond the Buzz: Operationalizing AI in Healthcare
From Experimentation to Scalable Impact

This session will explore why AI initiatives stall, what separates generic AI from purpose-built healthcare AI, and how payers and TPAs can move from experimentation to measurable enterprise impact.

Date: June 17 Duration: 60 minutes

Reserve your seat:
https://hubs.li/Q04j3gw50

1099 reporting is no longer a simple year-end task. With growing regulatory complexity and penalties of up to $680 for f...
05/21/2026

1099 reporting is no longer a simple year-end task.

With growing regulatory complexity and penalties of up to $680 for filing mistakes and delays, even small errors can create significant cost and compliance exposure for payers.

Automation changes the equation.

With automated 1099 reporting, Smart Data Solutions helps payers strengthen control across:

• Pre-filing data validation
• Automated W-9 collection and maintenance
• Filing orchestration across jurisdictions
• Error resolution and IRS notice management

The result: more controlled, repeatable, and efficient remediation processes. Ready to simplify 1099 reporting?

Read the blog. https://hubs.li/Q04hwxpx0

Operational gaps do not always show up as major failures. More often they appear as delays, rework, limited visibility a...
05/12/2026

Operational gaps do not always show up as major failures. More often they appear as delays, rework, limited visibility and friction that gets harder to manage as volume grows.

Our Clearinghouse Assessment helps uncover the hidden gaps that may be affecting performance and holding your operations back.

Take our quick assessment. https://hubs.ly/Q04gj1Pb0

05/07/2026

What’s slowing down care? Meet the usual suspects behind administrative friction.

Across prior authorization, fragmented records intake, eligibility and claims processing, operational bottlenecks can slow care before it even starts.

In our latest blog post, we examine why these barriers persist and how AI-powered automation can help healthcare organizations reduce friction, improve workflow efficiency and accelerate the path to timely care.

Which of these usual suspects creates the most work for your team?

Read the blog post here: https://hubs.li/Q04fS-6W0

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Eagan, MN
55121

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