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Network Solutions

HealthSmart Network Solutions — which encompasses several provider networks — brings together nationwide healthcare coverage, credentialed providers, seamless administration, state-of-the-art healthcare management services, and a dedication to making a positive impact on our customers . . . for life.

Our partnerships, national presence and pursuit of excellence allow us to complement any employer, payor, or third party administrator in the areas of cost containment, provider network management, utilization review, pre-certification and other management services. Our network solution offer up to a 65% discount on preferred providers. We achieve significant savings by using our own networks and aggressively negotiating out-of-network claims. We contract with our providers directly ensuring an efficient and personal relationship while retaining the ability to tailor our various provider network solutions to meet the needs of our customers and to control their healthcare costs.

Network Solutions That Save Plan Dollars:

	Utilizing our own primary preferred provider networks, such as HealthSmart ACCEL, HealthSmart Preferred Care (HSPC), Interplan Health Group (IHG) and Emerald Health Network (EHN) where we directly contract with over 600,000 providers
	Utilizing our own secondary network, HealthSmart Payors Organization, which is the second largest secondary network in the country
	Nationwide network partnerships
	Aggressively negotiating out-of-network claims using our own highly-skilled negotiators that have expertise and knowledge at the clinical level