Smart Data Solutions(SDS) is Minnesota (US) based healthcare workflow automation company with its Nepal office registered as SDS Software Development Nepal Pvt. Ltd.

SDS has been managing 450 million healthcare claims transactions annually for over 22 years.

We specialize in providing US healthcare payers and networks with front-end medical claims processing services and EDI solutions to expedite and streamline operations.

Smart Data Solutions is a technology vendor that brings 22 years of healthcare experience using intelligence and automation to extract data from front-office mailroom operations. Today, the company is expanding out from its front office focus and targeting its open-source automation and AI engines toward the entire healthcare operations value chain.  One of the key benefits of working with Smart Data Solutions is their specialized approach to data capture and automation. Smart Data Solutions takes a comprehensive approach to image and document processing, using multiple engines and hundreds of thousands of lines of code to ensure accuracy and make sense of data. Smart Data Solutions has also invested heavily in EDI interoperability, with clearinghouse capabilities that enable them to pivot towards providing value-added services. Using the data they have collected, they are able to offer population health insights to clients, helping them make informed decisions about their largest areas of spending and identifying potential opportunities for cost savings.

Smart Data Solutions’ global headquarters are just outside of St. Paul, MN with 400+ employees and leverages dedicated onshore and offshore resources as part of its service delivery model. The company counts over 500 healthcare organizations as clients, including multiple Blue Cross Blue Shield state plans, regional health plans, and TPAs, handling over 2 billion transactions of varying types annually with a 98%+ customer retention rate. SDS plans to continue investments into meaningfully in automation and machine learning capabilities across its tech-enabled processes to drive scalability and greater internal operating efficiency while also improving client results.

SDS has partnered with a leading growth-oriented investment firm, Parthenon Capital Partners, and the Blue Venture Fund, a unique collaboration among Blue Cross Blue Shield (BCBS) companies, to further accelerate expansion and product innovation.