The SmartHealth Provider Portal is a comprehensive online platform designed specifically for healthcare professionals to manage patient interactions, submit claims, and access critical resources efficiently. This portal serves as a centralized hub for providers within the Ascension network, offering streamlined administrative and clinical support.
Official Links
- Provider Resources: https://www.mysmarthealth.org/provider-resources
- SmartHealth Main Website: https://www.mysmarthealth.org/
What Providers Can Do
The SmartHealth Provider Portal offers multiple essential functions:
Claims Management
- Submit electronic claims through Portal.SmartDataStream.us
- Check claim status
- Manage claim-related processes
Prior Authorization
- Access prior authorization services
- Review medical code lists
- Complete prior authorization forms
Care Management
- Submit patient care management requests
- Access care coordination resources
Network Management
- Join or manage Ascension Network membership
- Access provider manuals
- Review network-specific information
Access and Registration
Electronic Claims Submission
- Visit Portal.SmartDataStream.us
- Click “Register” to create an account
- Complete registration process
Note: Providers must register before submitting electronic claims
Key Resources Available
- Provider Manuals
- Medical Policies
- Schedule of Benefits
- Preventive Services List
- Tier Coverage Information
- Pharmacy Resources
- Appeals Request Forms
Important Updates
Claims Clearinghouse Transition
Due to the national Change Healthcare outage, Automated Benefit Services (ABS) has migrated to Smart Data Solutions (SDS) for claims processing.
Transition Details
- New portal: Portal.SmartDataStream.us
- Providers must register
- Download SDS portal manual for guidance
Privacy and Security
While specific security details are not explicitly outlined, the portal emphasizes professional access and network integrity.
Support and Contact
Provider Support
- Contact Number: 888-492-6811
- Dedicated provider resources section
- Multiple support channels for network professionals
Unprovided Information
Some details not explicitly covered in the available documentation include:
- Detailed login procedure
- Specific security protocols
- Comprehensive feature list
- Exact registration requirements
Recommendations for Providers
- Register on the SDS portal
- Download the portal manual
- Verify clearinghouse routing
- Contact support for specific questions
The SmartHealth Provider Portal represents a critical digital infrastructure for healthcare professionals, offering comprehensive tools for claims management, network coordination, and patient care support.
Disclaimer
Information is current as of the most recent website update. Providers should verify specific details directly with SmartHealth support.
Keywords: smart health provider portal, provider resources, claims management, Ascension network
FAQ
Is SmartHealth an insurance company?SmartHealth is a health plan designed by Ascension for you and your covered dependents. Use SmartHealth to connect you to your doctors and care teams and access our full menu of health and wellness benefits.
What is smart health ppo?Preferred Provider Organization (PPO) With the PPO option, you have higher premiums, but you benefit from lower, more predictable expenses when you seek care.
What is the payer ID for SmartHealth?
Does Ascension Smart Health cover Ozempic?SH announces changes to the 2025 formulary
SmartHealth strives to offer its members effective and safe medications that drive the most value for our members and Ascension. Effective January 1, 2025, the medications Humira, Ozempic, and Rybelsus will be removed from the SH formulary.
https://www.mysmarthealth.org/provider-resources
Here you can join the Ascension network, find our medical policies, access provider forms, and stay up to date on the latest news.
https://www.mysmarthealth.org/
Locate information about your SmartHealth plan including dental and vision coverage, pharmacy benefits, plan documents, and spending accounts.