ELECTRONIC DATA INTERCHANGE (EDI) CLEARINGHOUSE

HealthSmart offers a Full Service Healthcare EDI Clearinghouse, which is open to all providers in the healthcare community. Our goal at HealthSmart is to give our network providers the highest level of customer service possible. Engineered with the latest technology, HealthSmart is committed to meeting all HIPAA requirements and leading the way in healthcare EDI services.

EDI Services

  • Commercial claims (Aetna, CIGNA, Humana, etc…) to providers
  • Free government claims to participating carriers
  • Eligibility verifications
  • Claim status inquiry
  • Electronic remittance advice (ERA) for auto payment posting
  • Referral and authorization requests
  • e-Paper (Print-Mail Services)
  • Patient statements

EDI Benefits

Let HealthSmart be your single source of EDI transactions. By utilizing the above features, providers experience the following benefits:

  • Faster reimbursement
  • Reduce rejected claims (Clean Claims)
  • Decrease time-intensive manual tasks
  • Increase productivity and efficiency
  • Improve cash flow

EDI Frequently Asked Questions

What service or clearinghouse do you use?

HealthSmart Information Systems

How can I contact HealthSmart Information Systems?
What is HealthSmart Information Systems mailing address?
  • HealthSmart Information Systems
  • 222 W. Las Colinas Boulevard, Suite 600N
  • Irving, TX 75039
What type of claims do you receive?
  • HCFA-1500
  • UB-92
  • UB-04
  • dental
  • institutional and professional
What other clearinghouses work with HealthSmart?

Our list of clearinghouses is constantly changing. Click here for the most up-to-date list.