SDS Provider Portal

Univera Healthcare has partnered with Smart Data Solutions, Inc. (SDS), an independent company, to provide a web-based submission platform for providers.

About the SDS Provider Portal

The SDS Provider Portal has two main functionalities, the Utilization Management (UM) Submission Portal and the Virtual Mailbox.

  • The UM Submission Portal allows for the electronic submission of documentation for pre-service/prospective and concurrent review to our Utilization Management/Behavioral Health Department.
    • Note: The UM Submission Portal should only be used if you are unable to register or submit via the CareAdvance ProviderTM (CAP) platform.
  • The Virtual Mailbox serves as an alternative to mailing documents (such as claims, adjustment requests, and post-service reviews) to our PO Box in Eagan, MN.

Register for a Main Account

To access the SDS Provider Portal, first register for a main account for your office.

  • Visit the SDS Account Creation Page to begin the registration process.
  • Provide the following information:
    • Provider name, Tax ID, and NPI
    • Contact information for the account administrator
    • Password
  • After submission, watch for a welcome email from stream.enrollment@sdata.us. The email will contain your User ID (CH######) and a link to access the portal. Check your junk folder if you don’t receive an email within 15 minutes after registration.

Additional instructions are available through the following resources:

Access the SDS Provider Portal

Once an account is created, you can access the SDS Provider Portal at any time. Use a modern browser such as Google Chrome for the best experience. If you forget your account password, use the “Forgot your password?” link on the login page to reset it.

Submit Documentation

Note: Files must be under 30 MB, not password protected, and in one of the following formats: .pdf, .tif/.tiff, .png, .jpg, or .doc/.docx.

UM Submission Portal

To submit documentation through the UM Submission Portal:

  • Log in to the SDS Provider Portal
  • Click on the “Utilization Management Submission” tab at the top of the screen. This will direct you to the UM Submission page, which displays submission details for the last 90 days.
  • Click on the “New Utilization Management Submission” button on the left-hand side of the UM Submission page to upload documentation.
  • Make the appropriate selections for “Product,” “Line of Business,” and “Form Type.”
    • The Line of Business selections reference the fax number you would have previously used. View a list of line of business options.
    • The Form Type “Urgent” is only to be selected for services rendered within the next 48 hours.
  • Enter Patient ID, Patient Date of Birth, Provider NPI, and Authorization Number (if applicable).
  • Click the “Choose Files” button to select file(s) or drag and drop them into the box.
    • If you need to attach more than one file applicable to the review, multiple files can be chosen by holding down the Control/CTRL button.
  • Click the “Submit Online” button. After submitting you will receive a “Control Number” - this is not an authorization number, but may be referenced when inquiring about the status of the review.

Note: To comply with HIPPA regulations, only upload documents for one patient per submission.

Additional instructions are available through the following resources:

Virtual Mailbox

To submit documents via the Virtual Mailbox:

  • Log in to the SDS Provider Portal
  • Click on the “Virtual Mailbox” tab at the top of the screen. This will direct you to the Virtual Mailbox page, which displays submission details for the last 90 days.
  • Click on the “New Virtual Mailbox Submission” button on the left-hand side of the Virtual Mailbox page to submit documentation.
  • Select the appropriate P.O. Box from the drop-down menu.
  • Click the “Choose Files” button to select file(s) or drag and drop them into the box.
    • Multiple files can be chosen by holding down the Control/CTRL button. The system will merge these files together into a single document to be sorted.  However, files from separate submissions will not be merged – just as we wouldn’t merge the contents of separate envelopes.
  • Click the “Submit” button. If the upload is successful, a message will display in green. After the documents have been sorted (~24 hours), a “Payer Reference Number(s)” will display on the Virtual Mailbox page. This number may be referenced when communicating with us.

Additional instructions are available through the following resources:

FAQs

SDS Provider Portal

The following lines of business are covered by the UM Submission Portal (including references to their associated fax numbers):

  • UM Inpatient/DME (800-292-5109)
  • UM Outpatient (800-222-8182)
  • UM Skilled Nursing (315-731-2529 – alternate number 877-220-4609)
  • UM Skilled Nursing – Treatment in Progress (877-220-4609)
  • UM Behavioral Health (585-399-6640)
  • Safety Net UM - Health Risk Assessments (866-838-7617)
  • Safety Net UM - Behavioral Health (844-878-6989/844-247-9450)
  • Safety Net UM - Care/Case Management (866-838-7617)
  • Safety Net UM - LTSS (844-620-7013)
  • Safety Net UM - Medical Non-Urgent (844-279-7140)
  • Safety Net UM - Urgent/Concurrent (855-742-0126)
  • Medical Specialty Drug (800-306-0188)

Documents related to a pre-service/prospective or concurrent review for our Utilization Management/Behavioral Health Department can be submitted through the UM Submission Portal. 

Documents typically mailed to our PO Box in Eagan, MN – such as claims, adjustment requests, post-service reviews, etc. – can be submitted through the Virtual Mailbox. 

Use the “Forgot your password?” link on the login page

SDS login screen showing the location of the forgot password link.

 

On the next screen, enter your username and associated email address and click “Request Password,” which will generate an email with a link to reset your password from SDS/Smart Stream.

SDS screen showing username and email prompts to reset a forgotten password.

You will receive an email from SDS/Smart Stream Enrollment: stream.enrollment@sdata.us.

UM Submission

The Patient ID field should match the subscriber ID on the patient’s member ID card. This should be the same subscriber ID that will be present on the claim when submitted for payment. 

Yes!  The system will merge files together from a single submission to create one document. To select more than one file, hold Control/CTRL down on your keyboard. This will work when you use the “Choose Files” box (to navigate to the file location) or when you drag and drop files from an open location.  

Note: Documents for only one patient should be submitted per request.  Do not combine records for different patients on the same request. 

VM

Yes!  To select more than one file, hold Control/CTRL down on your keyboard. This will work when you use the “Choose Files” box (to navigate to the file location) or when you drag and drop files from an open location. The system will merge the files together from a single submission into one document to be sorted as needed.  

Note: Files from separate submissions will not be merged – just as we wouldn’t merge the contents of separate envelopes. 

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