HealthSmart
Also covers / subsidiaries: HealthSmart Benefit Solutions, HealthSmart Holdings
Core Payer & Clearinghouse Profile
Electronic Payer ID
J1481
Administers many self-funded groups under several payer IDs (e.g. 37272, 87815). No single universal ID — use the member ID card.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
877-813-6366
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.healthsmartproviderportal.com/
National TPA for self-funded employer plans; payer ID, claims address, and timely filing are group-specific.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for HealthSmart.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under HealthSmart.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Healthsmart | J1481 | Non-Par | None | 837P837IWorkers Comp |
| Healthsmart Benefit Solutions | 11079 | Non-Par | None | 837P837I270/271276/277Dental |
| Healthsmart Benefit Solutions | 37283 | Par | Required | 837P837I835 ERA |
Resolution Tools for HealthSmart Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing HealthSmart Denials & Delayed Payments?
Aethera's billing specialists work HealthSmart every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.