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HealthSmart Information Systems offers innovative electronic information services for the healthcare industry. We serve clients across the country with the most progressive technology solutions in the healthcare industry, which includes our full service healthcare Electronic Data Interchange (EDI) Clearinghouse and back-office streamlining and repricing services. HealthSmart is dedicated to creating and implementing the latest technologies to ensure we exceed expectations when met with the many challenges associated with healthcare information systems.

HealthSmart Information Systems offers significant operating efficiencies to the healthcare industry through a range of solutions that streamline electronic claims processing. We specialize in providing full front-end services, from scanning and optical character recognition (OCR) to complete repricing service applications including the loading of your pricing, provider and member data. By receiving "clean claims" in HIPAA-compliant formats, our clients achieve higher auto-adjudication rates, maintain peak-level processing capacity and eliminate their backlog — all with guaranteed turnaround time and data accuracy.

Our automated system produces "clean claims" by facilitating the receipt of electronic or form-based claims data and perfecting that data using industry standards and client business rules. We output clean claim files in customer-specified formats, maximizing smooth flow into the adjudication system. If a claim must be repriced, we electronically facilitate repricing with the appropriate network data. In addition, HealthSmart Information Systems can electronically archive claim data and images for web-based retrieval and inquiry status.

Key Services:

  • FREE submission of electronic claims to participating payors
  • High volume scanning and data capture
  • Data scrubbing, edits and cleanup
  • EDI transaction processing between healthcare providers, PPO networks, independent practice associations, third-party administrators, repricers and payors
  • Data validation by highly skilled HealthSmart Information Systems staff
  • Secure document image archival, management and retrieval — access via the web
  • HIPAA transaction services including translations between any NSF, ANSI 837 HIPAA and proprietary formats

Key Benefits:

  • One stop outsourcing services with no capital investment
  • Fast deployment: typically 15 to 30 days from contract to production
  • Guarantees on turn-around times and accuracy
  • Reduction in transaction processing costs: 20-50%
  • Competitive Rates: we can match any valid qualified competitor's pricing while giving you substantially better depth, breadth and quality of service
  • HIPAA Compliant