Submit a Claim

 

Ascension’s claims clearinghouse has moved to SDS

In response to the national outage at Change Healthcare, Automated Benefit Services (ABS) has chosen to implement a new solution and is migrating to a new trade partner, Smart Data Solutions (SDS).

To submit electronic claims, visit Portal.SmartDataStream.us

You must register first by clicking “Register”

For additional assistance, you can download the SDS portal manual here.


Submit a Claim

We believe providers deserve to be paid accurately and on time for the important role they play in their patient’s overall health. We create efficient, streamlined claims submission process to make that happen, and support it all with a strong customer service team that is ready to serve you. 

When it comes to processing claims, start by checking the participant’s ABS-issued ID card for instructions. Many PPOs require that claims are submitted directly to the PPO. If not, providers can submit claims to ABS in a number of methods: 

  • Through ABS’ contracted clearinghouse, 
  • Using other clearinghouses, 
  • Direct to ABS through the SDS portal, or
  • Paper claim form submission.  

Regardless of the method of submission, ABS adheres to:

  1. the HIPAA Privacy Rule, which protects the privacy of individually identifiable health information, 
  2. the HIPAA Security Rule, which sets national standards for the security of electronic protected health information; and 
  3. the confidentiality provisions of the Patient Safety Rule, which protects identifiable information being used to analyze patient safety events and improve patient safety.

The following describes the claims submission options available for providers submitting claims to ABS.

Claims submission through ABS’ contracted clearing house-Smart Data Solutions (SDS)

ABS’ contracted clearinghouse is Smart Data Solutions (SDS). Users must register first in order to submit electronic claims.

https://portal.smartdatastream.us/

For additional information establishing a link between your office and SDS you can contact them at 855-297-4436.

Claims submission using other clearinghouses

The easiest and quickest way to submit your claims to ABS is to setup a link directly with our contracted clearinghouse-Smart Data Solutions (SDS). The ABS Payer ID is 38259. If you have a current agreement with another clearinghouse, however, you can still utilize their services provided they either have an established relationship with SDS or be able to push your files to another clearinghouse that does have a relationship with SDS. It is possible to have two or more clearinghouses linked where one has a relationship with another, who has a relationship with SDS.

To determine if your clearinghouse has a relationship with SDS please contact SDS at the telephone number listed above or your own clearinghouse.

Claims submission direct to ABS through the SDS portal

ABS has a direct portal connection through the SDS Smart Data Stream Portal.  The portal is administered by SDS, but is a direct link to ABS. We recommend that trading partners transmitting claim volumes larger than 200 claims daily utilize the SDS Portal.

For additional support, contact SDS at 855-297-4436. 

Paper form claim submission

ABS also accepts and processes claims provided to us in a paper form.  ABS accepts claims in UB-04 (institutional) and CMS-1500 (professional) forms.  The submission of claims in paper form is not recommended due to the higher error ratio associated with incorrect, missing or unreadable characters.  Providers whose only option is to provide paper claims can arrange such submission by contacting ABS. 

Please refer to the claims submission address on the member ID card.

An alternate and quicker option is to key your claim into the SDS online portal.  

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