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.

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Member

Real-time, online access to your benefits information, explanations of benefits, member ID cards 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

Claims inquiries, provider lookup, appeals and other tools for HealthSmart payer clients, including health plans and TPAs. 

Provider

Provider services, including real-time, online access to member health benefits and claims information.

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Flexible, affordable network solutions

 

HealthSmart Network Solutions is dedicated to providing plan administrators and sponsors with a suite of flexible services tailored to their specific challenges. Clients have options that are flexible and scalable, ensuring they offer top-notch access and quality to their members while maintaining excellent value. 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. With a Net Promoter Score of 50, our dedication to unparalleled service sets us apart in the market. Learn more!
 


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Smart Solutions for Smart People. We're HealthSmart.

We solve client problems and make life better for their people. Every single day. 

 

HealthSmart Solutions

Benefit Solutions

Benefit plans and solutions for worry-free administration, quality coverage and innovative care.

Rx Solutions

Integrated pharmacy benefit management, and tools to reduce the high cost of specialty drugs. 

Care management

Integrated clinical solutions designed to fit your populations and reduce healthcare costs.

Network Solutions

Flexible provider networks for member access to quality care at the best value.

Casualty Claims

Innovative claims management solutions that leverage technology with unmatched experience.

Home-HS.jpgWhy 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, and intelligence..