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What is Smart Data Solutions?

Enhance Your Healthcare Data Management Process. Smart Data Solutions brings a wealth of knowledge and advanced tools to improve both your traditional paper workflows and digital systems. Our comprehensive set of integrated solutions for data validation, matching, and normalization guarantees top-tier data quality, which streamlines auto-adjudication and reduces the necessity for manual interventions. Whether you are exploring Smart Data Solutions for the first time or have been a valued partner for years, our development approach is tailored to support you throughout your projects, increasing your chances for success. Our committed team takes the time to understand your specific needs and the nuances of your workflows, ensuring we can address both simple and complex requirements effectively. We concentrate on your goals, identifying the best strategies to help you achieve them. Smart Data Solutions provides extensive front-end pre-adjudication services for various Payers nationwide, offering flexibility in our service options. No matter if your needs are modest or you require a completely customized workflow, Smart Data Solutions has a wide array of solutions to accommodate your requests. Our dedication to delivering exceptional results distinguishes us in the market and fosters lasting partnerships. Furthermore, we continuously adapt our offerings to stay ahead of industry trends and meet evolving client expectations.

What is Adjudicator?

Adjudicator functions as an innovative platform designed for the administration of plans and the evaluation of prescription claims, catering to a diverse range of entities, including pharmacy benefit managers, hospitals, health systems, managed care organizations, and retail pharmacies. This platform boasts customizable plan configurations and benefit structures, supports multi-tenant environments, and facilitates the oversight of pharmaceutical networks, drug formularies, and maximum allowable cost (MAC) pricing. Users gain access to a member portal that provides real-time information on benefit statuses and the ability to track pending claims, along with options for secure document uploads and timely alerts. Moreover, a prior authorization dashboard offers insights into claims data while fostering secure communication among various stakeholders. An integrated API framework allows for efficient data exchange with both internal systems and external partners, ensuring smooth interoperability. By equipping organizations with these robust tools, Adjudicator enables effective management of pharmacy benefits and prescription claims, significantly improving operational efficiency and the quality of service provided to members. Ultimately, the comprehensive features of Adjudicator allow stakeholders to remain agile in response to the dynamic landscape of healthcare and pharmacy management, ensuring they are well-prepared for future challenges.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Has API

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support

Training Options

Documentation Hub
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Smart Data Solutions

Date Founded

2000

Company Location

United States

Company Website

www.sdata.us

Company Facts

Organization Name

Cervey

Date Founded

1978

Company Location

United States

Company Website

cervey.com

Categories and Features

Categories and Features

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