Automating Workflows & Health Insurance Solutions | Streamline Your Healthcare Financial Management

Automating workflows and health insurance

Automating workflows and health insurance

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

Electronic Claims

Its is a SaaS based extensive e-claim processing software for different practices to validate the quantity as well as quality of claim processes. HIPAA and HITECT act compliant medical office management (OS) application with a focus on making healthcare claims easy, efficient and economic. 

Electronic Claims

Healthcare Data Warehouse

This custom solution can help standardize data available in unstructured formats from different systems. These solutions efficiently maintain essential healthcare data compliance like HIPAA and HL7. Provide useful insights from Data to increase the efficacy of patient treatment through interoperability. 

Here we are receiving data from below sources:
1. Relational databases, 
2. Flat files, Salesforce, 
3.HL7 data from various EMRs, Pharmacy, 
4. DICOM files like CT scans, MRI, etc, 
5. Medical prescription OCR

And finally, store in a Data warehouse hosted in AWS to perform analytics over data to capture useful insight

Healthcare Data Warehouse

CRM for Health Insurance System

This CRM is an admin system for health insurance system that provides a comprehensive health care services delivered through their team of healthcare professionals. The CRM is being used by the administrator and providers to fetch customer data and schedule calls to provide different health information services, generate reports, configure products and services portfolio and analyze the end customer needs.

CRM for Health Insurance System

Employee Medical Reimbursement and HRA Platform

The application analyzes personal information and health history to identify health risks. Based on identification of risks employees receive actionable information needed to practice prevention and achieve health goals. It is an advanced platform for creating customized health insurance plans for self-funded employers. This impacts huge healthcare expenses, help reducing the rising cost of health insurance and increasing healthcare claims linked to chronic disease. 

There are different products that provide solutions like comprehensive solutions for self-funded health plans, executive medical reimbursement, qualified small health reimbursement arrangement & preventive health management. 

Employee Medical Reimbursement and HRA Platform

Physician Revenue cycle management

This solution transforms the reimbursement experience by not only handling the end-to-end billing and revenue cycle processes but also paying physicians upfront for their services. 

This solution gets the healthcare providers paid with minimal administrative costs. It represents a paradigm shift that puts user experience at the core while elevating the quality, increases cash flows and reducing transaction and administrative costs.

Physician Revenue cycle management

Healthcare Payment Audit and Appeal Wizard

SaaS-based software to draft, track, and manage healthcare payment audit appeals and responses. The platform unites the overcharged patients, organizations and auditors. This helps the patients suspecting for overcharge to appeal in the judiciary system against the alleged organization.

The goal of this application is to facilitate the communication amongst organizations, victim patients and auditors, and assists appeal to the judiciary system with a structured approach. The total process is tracked by the system with valid papers and document maintenance.

Healthcare Payment Audit and Appeal Wizard

What our clients says about smartData

Aime
Aime

CEO and founder

smartData’s team of AI software engineers brings valuable expertise to the table. I look forward to continuing our partnership and leveraging smartData's capabilities for future endeavors.

Dr.Salman
Dr.Salman

CEO and founder

Their expertise and collaborative approach have been instrumental in our progress. Over the past two years, we've made significant strides, and I'm impressed by smartData's dedication to the project.

Sitora
Sitora

CEO and founder

smartData consistently met deadlines, even with evolving requirements, thanks to their commitment to agile development methodologies. This flexibility was instrumental in the project's success.

Endre
Endre

CEO and founder at Shipping company

smartData developed a strong software solution that optimizes port efficiency for shipping lines worldwide. Their expertise has been essential in bringing this one-of-a-kind system to life.

Carlos
Carlos

Founder at CEO at IT managed services

smartData’s consistent support and exceptional quality across every phase have been invaluable. Their expertise and dedication to long-term partnerships make them a trusted choice.

Gavin
Gavin

CEO at workforce tracking company

We recently partnered with smartData,for a critical workforce management project. Their progress has been exceptional, exceeding expectations.

Lamae
Lamae

CEO

smartData provided us with personalized service, leveraging cutting-edge technology to deliver solutions that meet our exact needs. The smartData team is a true asset, always ready to assist with any request.

Dr.Mehrzad
Dr.Mehrzad

Primary care physician

I have been associated with smartData for the last 5 years. They developed an Electronic Medical Record system for me.

Jay
Jay

CEO

smartData's expertise extended our partnership from just stabilising our platform to building our entire tech stack. Their team consistently collaborates well with ours, demonstrating a deep understanding of healthcare technology needs.

Marc
Marc

Board Member

smartData’s highly skilled and respectful team made the collaboration a pleasure. We look forward to the future and the impact of our ongoing partnership with smartData.

Peter
Peter

VP Operations

The team impressed us with their deep understanding of our project, innovative approach, and most importantly, their commitment to our vision of an AI-powered solution for our clients.I highly recommend smartData to anyone seeking a reliable and innovative development partner for their next project.

Jatin
Jatin

Director- Product Development and Marketing | Technology

Team smartData guided us through every stage, from business analysis and wireframing to UI/UX design and development.Their expertise and dedication have been instrumental in getting us launch-ready, and we look forward to a long-term partnership.

Jayraj
Jayraj

Managing Director

smartData’s warm welcome and exceptional service exceeded expectations. They truly understood the unique needs of a healthtech startup.

Heath
Heath

CEO and founder at Health tech company (musculoskeletal injuries)

Team smartData consistently delivers high-quality work, meeting our expectations. Their responsiveness and talent have been important in fulfilling our evolving needs.

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smartData Benefits

Global Talent Pool

Nearly 1,000 developers & independent consultants across three offshore locations.

Proven Track Record

Delivered over 10,000 diverse software applications globally.

Worldwide Presence

Strong foothold in the US, Australia, Europe, and Japan.

Silicon valley roots

Embodied with a Silicon Valley mindset and expertise

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