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Payer Directory

HealthSmart: payer ID and claims support

HealthSmart uses payer ID 34167. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.

Payer ID 34167Commercial

HealthSmart at a glance

What billers need before running a check.

Payer ID
34167
Also known as 16755, 6664, 6768
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Commercial
Operating area
Not published
Payer website
www.healthsmart.com

Supported transactions

What can be exchanged electronically with HealthSmart today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
NOT AVAILABLE
Claim status (276/277)
Where a submitted claim stands
NOT AVAILABLE
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
Dental claims (837D)
Dental claims
NOT AVAILABLE
Remittance (835 ERA)
Electronic remittance advice
NOT AVAILABLE
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Frequently asked questions

What is the payer ID for HealthSmart?+
HealthSmart uses payer ID 34167. It also appears as 16755, 6664, 6768 in some systems.
Does HealthSmart support real-time eligibility verification?+
Not electronically today. Coverage for HealthSmart has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.

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