HealthSmart Network Solutions offers a comprehensive Provider Portal designed to streamline healthcare administrative processes and enhance provider efficiency. This digital platform provides network providers with critical tools and real-time access to essential patient and claims information.
Official Links
- Website: https://www.healthsmart.com/
- Provider Portal Page: https://www.healthsmartnetworksolutions.com/provider/providers
What Providers Can Do
The HealthSmart Provider Portal enables healthcare professionals to:
- View patient eligibility status
- Determine claim status
- Confirm claim payments
- Access patient medical information
- Submit electronic claims
- Manage credentialing information
Key Portal Features
Electronic Data Interchange (EDI) Services
HealthSmart’s portal offers robust EDI capabilities, including:
- Commercial claims processing
- Free government claims submission
- Eligibility verifications
- Claim status inquiries
- Electronic remittance advice
- Referral and authorization requests
Benefits of Using the Portal
Providers experience significant advantages:
- Faster reimbursement
- Reduced claim rejections
- Decreased manual administrative tasks
- Increased productivity
- Improved cash flow
Access and Authentication
Portal Access
- Network providers can access the online portal
- Contact Customer Service at 1-800-687-0500 for detailed access instructions
Credentialing
HealthSmart participates in the Universal Credentialing DataSource, allowing providers to:
- Store credentialing information online
- Share credentials electronically with insurance carriers
Privacy and Security
HealthSmart prioritizes:
- HIPAA compliance
- Secure data transmission
- Fraud, waste, and abuse prevention
Support Resources
Quick Links
- HealthSmart Provider Lookup
- Online Claim Status Portal
- Provider Manual (2023)
- Provider FAQs
Contact Information
- Phone: 1-800-687-0500
- Address: 1311 W President George Bush Highway, Suite 100, Richardson, TX 75080
Unprovided Information
Some specific details about the portal’s user interface, mobile compatibility, and exact login process were not explicitly detailed in the source documents.
Additional Portal Portals
HealthSmart offers multiple portal access points:
- Provider Portal – Online Claim Status
- Client Portal – SmartInquiry
- HealthSmart EDI Clearinghouse Portal
The HealthSmart Provider Portal represents a comprehensive digital solution for healthcare providers, offering streamlined administrative processes, real-time information access, and robust support services.
Recommended Next Steps
- Review the HealthSmart Provider Manual
- Contact customer support for specific portal access
- Explore available online resources and quick reference guides
Disclaimer: Information current as of August 2025, based on available documentation from HealthSmart Network Solutions.
FAQ
What type of insurance is HealthSmart?HealthSmart insurance offers coverage for a range of healthcare services, including mental health and substance misuse treatment.
What is the phone number for HealthSmart provider portal?If you have technical questions with regards to the functioning of this website or our Employee, Customer, Provider websites, you may address them via email at [email protected]. Our Help Desk can be reached at 1-800-638-0968 between the hours of 8:00 am and 5:00 pm Eastern Time, Monday – Friday.
How does HealthSmart work?HealthSmart’s network providers are directly contracted with us and credentialed by our team. These networks offer nationwide healthcare coverage, accredited providers, streamlined administration, cutting-edge healthcare management, transparency, and an unwavering commitment to customer satisfaction.
Is HealthSmart a third party administrator?HealthSmart is a third party administrator and provider of customizable and scalable health plan solutions for self-funded employers.
https://www.healthsmart.com/
Solutions to reduce healthcare costs and improve care while treating members with dignity and respect. Network. Claims inquiries, provider lookup,
https://www.healthsmartnetworksolutions.com/provider/providers
HealthSmart providers have access to a variety of services, including real-time, online access to useful patient information. Here, you can: View eligibility