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BENEFIT SOLUTIONS
HealthSmart is the premier provider of innovative, customizable and scalable solutions for employers, brokers and payers. Our solutions include health plan benefit administration, care management, pharmacy benefit management, provider networks and casualty claims solutions.PROVIDER CENTER
We are committed to providing the best care for our members and the best provider services, including expedited claims turnaround times. HealthSmart providers have access to a variety of services, including real-time, online access to useful patient information. Simply select from the dropdown menu below, and you’re on your way! For further COVID-19 RESOURCE CENTER If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety, or feel like you want to harm yourself or others call. 911. Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Disaster DistressHelpline: 1
HEALTHSMART MYHEALTH 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. myHealth is your gateway to accessing all the tools to manage your health in a single website. You can also stay connected through our smartphone App that’s designed to help you use and manage your healthcare coverageanywhere.
HOME | HEALTHSMART
If your benefit period effective date is December 31, 2017 or before, please contact Mercer Consumer regarding claims processing.This applies to individuals who are submitting claims under the $15,000 or $25,000 deductible CMM plans. LOG IN - HEALTHSMART Welcome to my TPA. Where Members, Providers and Clients can access, claims and eligibility information. Click the appropriate icon below to download the app for your device. HEALTHSMART PROVIDER LOOKUP HealthSmart recommends that you contact your health care provider directly for the most accurate and up-to-date demographic and participation information. If you are unable to find the provider or specialty you are searching for, you can contact HealthSmart at the toll-free number shown on your ID card. By clicking, "ok" below, youacknowledge
PROVIDER LOGIN
This portal is designed to provide you with up-to-date claims status information related to the WTC Responder population that you serve. Please Note: This portal is for Providers Only. Registration and Technical Issues: (214) 574-1149. Electronic Claims Submission: EDIPayor ID 31172.
WELCOME TO WEB EXCHANGE LOGIN PAGE Welcome to HealthSmart's Web eXchange system. Please login with the form on the left. Online Features. Claims Status and DetailInformation
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Log in. Username:: Forgot Username: Password:: Forgot PasswordBENEFIT SOLUTIONS
HealthSmart is the premier provider of innovative, customizable and scalable solutions for employers, brokers and payers. Our solutions include health plan benefit administration, care management, pharmacy benefit management, provider networks and casualty claims solutions.PROVIDER CENTER
We are committed to providing the best care for our members and the best provider services, including expedited claims turnaround times. HealthSmart providers have access to a variety of services, including real-time, online access to useful patient information. Simply select from the dropdown menu below, and you’re on your way! For further COVID-19 RESOURCE CENTER If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety, or feel like you want to harm yourself or others call. 911. Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Disaster DistressHelpline: 1
HEALTHSMART MYHEALTH 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. myHealth is your gateway to accessing all the tools to manage your health in a single website. You can also stay connected through our smartphone App that’s designed to help you use and manage your healthcare coverageanywhere.
HOME | HEALTHSMART
If your benefit period effective date is December 31, 2017 or before, please contact Mercer Consumer regarding claims processing.This applies to individuals who are submitting claims under the $15,000 or $25,000 deductible CMM plans. LOG IN - HEALTHSMART Welcome to my TPA. Where Members, Providers and Clients can access, claims and eligibility information. Click the appropriate icon below to download the app for your device. HEALTHSMART PROVIDER LOOKUP HealthSmart recommends that you contact your health care provider directly for the most accurate and up-to-date demographic and participation information. If you are unable to find the provider or specialty you are searching for, you can contact HealthSmart at the toll-free number shown on your ID card. By clicking, "ok" below, youacknowledge
PROVIDER LOGIN
This portal is designed to provide you with up-to-date claims status information related to the WTC Responder population that you serve. Please Note: This portal is for Providers Only. Registration and Technical Issues: (214) 574-1149. Electronic Claims Submission: EDIPayor ID 31172.
WELCOME TO WEB EXCHANGE LOGIN PAGE Welcome to HealthSmart's Web eXchange system. Please login with the form on the left. Online Features. Claims Status and DetailInformation
SERVER LOGIN
Log in. Username:: Forgot Username: Password:: Forgot Password HEALTHSMART MEMBER PORTAL Accessing the HealthSmart Member Portal is easy and simple. If using a computer, members can simply visit myhealth.healthsmart.com, enter their credentials and they have instant, real-time access to their health benefits information. For on-the-go access, the HealthSmart Member Portal is available as an app for Apple and Android smartphonesand
COVID-19 RESOURCE CENTER If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety, or feel like you want to harm yourself or others call. 911. Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Disaster DistressHelpline: 1
LOG IN - HEALTHSMART Welcome to my TPA. Where Members, Providers and Clients can access, claims and eligibility information. Click the appropriate icon below to download the app for your device. HEALTHSMART PRIMARY CARE CLINICS HealthSmart Primary Care Clinics provide on-site employer-sponsored healthcare centers staffed with medical personnel dedicated to your employees and their dependents. Employees have fast and easy access to affordable primary care services, convenient medical care, free common generic prescriptions, and disease prevention services. More than UTILIZATION MANAGEMENT Managing quality care for optimal, cost-effective outcomes. Healthcare is a delicate balance between improving outcomes while lowering costs. HealthSmart's Utilization Management helps ensure our clients have access to an effective and efficient medical care delivery system. Our team evaluates the medical necessity and length of medicalJOIN OUR NETWORK
222 West Las Colinas Boulevard Suite 500N Irving, Texas 75039214.574.3546
HSRX PHARMACY BENEFIT MANAGEMENT HealthSmartRx Solutions Pharmacy Benefit Management Solves: Reduces prescription drug spending by up to 15%. Contains costs through 80% generic drug substitution rates. Provides 24-hour access to eligibility information, claims history and forms through a member portal. Educate members and improve medication adherence throughaccess to skilled
FORMS AND DOCUMENTS
Forms. Download. Claim Form - Voluntary & Group Plans. Claim Form - Critical Illness Benefit (Group Plan only) Authorization to Release Personal Health Info. Direct Deposit Form. LOG IN - HEALTHSMART Email Password Sign in Forgot your password? 6 THINGS YOU SHOULD KNOW ABOUT STOP LOSS INSURANCE 222 West Las Colinas Boulevard Suite 500N Irving, Texas 75039214.574.3546
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Smart Alternatives
Solutions to reduce healthcare costs and improve care while treating members with dignity and respect.Learn more
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SmartDecision
Smart Reference Based Pricing tools with a high-touch concierge service to help members navigate access to lower cost, high qualitycare.
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Custom Care Plans
Slash the cost of dialysis with integrated care management byHealthSmart.
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MyDecision™
High-touch, high-quality care at lower costs for elective procedures. Zero out-of-pocket for members.Learn more
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HealthSmartRx Solutions We just changed the game on managing the high cost of specialty drugs.Learn more
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Smart Casualty Claims Flexible. Customizable. Scalable. Smart claim solutions for smart organizations.Learn more
WE TAKE CARE OF A COMPANY'S MOST VALUABLE RESOURCE. ITS PEOPLE. HealthSmart is the premier provider of customizable and scalable solutions for self-funded employers.I AM A...
MEMBER
Real-time, online access to your benefits information and other tools – whenever you need it.STUDENT
Especially for university and college student members, get instant access to your benefits information.BROKER
One-stop resource for brokers, distribution partners and consultants to bring the best solutions to clients.EMPLOYER
Solutions for HR executives, plan sponsors and benefit administrators, plus access to employer services,PAYER
For health plans and TPAs, we offer comprehensive solutions to complement payer capabilities.PROVIDER
Provider services, including real-time, online access to member health benefits and claims information.HEALTHSMART BLOG
Thoughts from HealthSmart Leadership Another Medical Bill? Surprise! 3/24/2020 10:03:58 AM If you’ve ever been to the emergency room or had a surgery, you likely know that the bill you get from the hospital isn’t the only bill you’re going to receive. Soon, you may receive a bill from the doctor (or doctors) you saw. What happens if one or more of these providers are not in your network? Now you know what surprise billingis. Read More>>
NEWS AND ANNOUNCEMENTS The Latest News From HealthSmart COVID-19 Information From HealthSmart We want to assure our broker partners, clients and members that we are committed and prepared to support those we serve throughout the COVID-19 situation. As part of this commitment, we are sharing information about COVID-19, details about member access to medical care, and insight into our business continuity planning. Read more>> THE SMART ALTERNATIVE TO RISING HEALTHCARE COSTS Healthcare costs are rising faster than inflation. HealthSmart can help. We offer a focused, innovative approach to bending the cost curve. While the average healthcare trend has risen by 6 to 7.5 percent annually over the past few years, HealthSmart customers actually see their medical costs decrease each year. Learn how HealthSmart can help you take control of rising healthcare costs, just like we have for hundreds of other self-funded plans.Read more ➝
SMART SOLUTIONS FOR SMART PEOPLE. WE'RE HEALTHSMART. We solve client problems and make life better for their people. Everysingle day.
HEALTHSMART SOLUTIONSBENEFIT SOLUTIONS
Benefit plans and solutions for worry-free administration, quality coverage, and innovative care.RX SOLUTIONS
Competitive pharmacy benefit management, customized care plans and cost containment solutions.CARE MANAGEMENT
Integrated clinical solutions designed to fit your populations and significantly reduce healthcare costs.NETWORK SOLUTIONS
Flexible networks for member access to quality care at the best value.to meet our clients' unique needs.CASUALTY CLAIMS
Innovative claims management solutions that leverage technology with unmatched experience.WHY HEALTHSMART
Reducing costs while improving member health HealthSmart is the premier provider of innovative, customizable and scalable solutions for employers, brokers and payers. Our solutions include health plan benefit administration, care management, pharmacy benefit management, provider networks and casualty claims solutions. We also offer business intelligence, onsite employer clinics, a variety of health and wellness initiatives and web‐based reporting. Our mission is to improve the health of our members while treating them with dignity and respect, and reduce healthcare costs for our clients and members with innovative solutions and a flexible approach. We provide self-insured clients with a one-stop source for their health plan needs, and deliver best-in-class service, support, andintelligence..
222 West Las Colinas BoulevardSuite 500N
Irving, Texas 75039
214.574.3546
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