H
Payer Directory
HealthSmart MSO: payer ID and claims support
HealthSmart MSO uses payer ID HSM01. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
HSM01HealthSmart MSO at a glance
What billers need before running a check.
Payer ID
HSM01Also known as 7243, 8679, A0067, AMM24
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Operating area
California
Payer website
healthsmartmso.comSupported transactions
What can be exchanged electronically with HealthSmart MSO today.
| Transaction | Status |
|---|---|
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 | ENROLLMENT REQUIRED |
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 MSO?+–
HealthSmart MSO uses payer ID HSM01. It also appears as 7243, 8679, A0067, AMM24 in some systems.
Does HealthSmart MSO support real-time eligibility verification?+–
Not electronically today. Coverage for HealthSmart MSO has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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