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.