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Account Creation

This form is to create a clearinghouse account with Smart Data Solutions. This account will allow you to submit claims, receive ERAs, and check claim status and eligibility for a variety of payers. Before creating an account, please confirm with your office manager that you have permission to do so.

If you have any questions, you may contact our support Mon-Fri 9-5 CST at or 855-297-4436.

Provider Details

Provider Contact Information


Please create a password. It must include at least:
  • 12 characters
  • One uppercase letter
  • One lowercase letter
  • Two numbers
  • One special character
  • No repeating characters