Automating-Workflows-&-Health-Insurance-New

Automating workflows and health insurance

In the complex realm of healthcare financial management, smartData's Automating Workflows & Health Insurance solutions are your key to optimization. We excel at streamlining intricate financial processes, from billing to claims management, ensuring increased revenue capture and reduced operational overheads.

Our solutions leverage automation to simplify patient-provider financial interactions. This results in quicker claims processing, reduced denials, and a seamless billing experience for patients. With our deep expertise in health insurance processes, we ensure that financial workflows are efficient and transparent.

Healthcare providers can rely on our solutions to eliminate bottlenecks and reduce manual interventions in financial processes. By automating tasks such as claim submission and tracking, we enable healthcare organizations to save time and resources while ensuring accurate revenue capture.

At smartData, we're not just providing software solutions; we're crafting a seamless, efficient, and transparent RCM journey for healthcare providers. Trust us to optimize your financial operations and contribute to your financial success.

Recent Portfolio Projects

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Nasq

Nasq

Tsheel/Nasq is a B2B SaaS platform designed for individual salon and spa owners to establish and manage their own branded online presence effortlessly. The platform offers customizable website templates, enabling business owners to personalize their sites by adjusting colors, adding logos, managing schedules, and listing services. Each salon/spa gets a dedicated website under the Nasq sub-domain.
The solution operates on a subscription-based model, granting business owners access to an intuitive booking management system, service customization options, and analytics insights. Customers can seamlessly search for services, book appointments, and manage their schedules through a user-friendly interface. The integration of HyperPay, Apple Pay, and Google Pay ensures secure and flexible payment processing.
By streamlining digital transformation for small and medium-sized beauty businesses, Tsheel/Nasq enhances operational efficiency, improves customer engagement, and drives revenue growth.

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Revenue Cycle management

Revenue Cycle management

The primary objective of this project is to design and implement an event-driven backend system that automates the generation, validation, and delivery of healthcare-related EDI (Electronic Data Interchange) files, such as 834 (Eligibility and Enrollment), 837 (Claims), and 835 (Remittance Advice). These files are essential for secure, standardized, and compliant data exchange between healthcare providers, payers, and regulatory partners.

This system aims to:

  • Ensure compliance with HIPAA and EDI X12 standards through rigorous validation (via Cotiviti).
  • Enable seamless integration with external vendors like Avesis, Nations Benefits, and Reveleer through SFTP-based delivery mechanisms.
  • Maintain operational transparency and traceability using real-time monitoring and logging via SigNoz.
  • Support future scalability and workflow orchestration through modular design and integration with AWS services like SQS and Step Functions.
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Ai Driven Healthcare Document Analysis

Ai Driven Healthcare Document Analysis

This project is a Web-based E-Prescribing & Document Processing Platform designed for healthcare providers and organizations to manage electronic prescriptions, sales orders, and documentation efficiently. The platform integrates with Brightree via API for seamless data synchronization, ensuring automated handling of product catalogs, patient records, and order tracking. A robust AI-powered document ingestion system processes medical faxes, extracts key details using OCR, and categorizes them for compliance checks. The system enhances efficiency through automated validation, real-time chat support, and AI-driven data extraction while ensuring secure handling of sensitive medical data.

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What our clients say about smartData

Trinity

Trinity

The visit to sD office has been amazing. We felt...

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Dr.Mehrzad

Dr.Mehrzad

I have been associated with smartData for the last 5...

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Ricardo

Ricardo

You guys did a great job. Mohammed, especially, communicated very...

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Akhil

Akhil

At the beginning, while looking for possibilities for our project,...

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Joyce

Joyce

I am being a part of smartData for the past...

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smartData Benefits

Global Talent Pool

We boast nearly 1,000 highly skilled developers strategically positioned across three offshore locations, enabling us to deliver world-class software solutions. 

Proven Track Record

With a proven track record of delivering over 10,000 diverse software applications worldwide, we have honed our expertise to perfection.

Worldwide Presence

smartData Enterprises boasts a robust global footprint, with a strong foothold in key regions such as the US, Australia, Europe, and Japan.

CMMI/ISO certifications and accreditation

smartData’s CMMI Level 3 and ISO 9001:2015 certifications showcase our commitment to quality and consistency, with a focus on client success. As we aim for CMMI Level 4, we’re driving greater efficiency and innovation.