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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 stream.support@sdata.us or 855-297-4436.

Provider Details

Name

Tax Identification Number (TIN)

National Provider Identifier (NPI)

Provider Contact Information

First Name

Last Name

Phone

Re-enter Email

Password

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

Password

Re-enter Password