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HealthSmart MSO

HealthSmart MSO

This page contains information you can use to exchange healthcare transactions with HealthSmart MSO using Stedi.
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Use any of the following payer IDs to send transactions to HealthSmart MSO using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
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Supported transactions

Use Stedi to exchange the following transactions with HealthSmart MSO using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to HealthSmart MSO.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to HealthSmart MSO to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to HealthSmart MSO in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to HealthSmart MSO and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to HealthSmart MSO and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from HealthSmart MSO to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to HealthSmart MSO and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to HealthSmart MSO.
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Start processing healthcare transactions with Stedi and HealthSmart MSO today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Angeles IPA
  • Asian Community Medical Group Incorporated
  • Associated Dignity Medical Group Professional Corporation
  • Associated Physicians Medical Group Incorporated
  • California Pacific Physicians Medical Group Incorporated
  • HMMSO
  • HealthSmart Management Services Organization
  • HealthSmart Management Services Organization Incorporated
  • Healthy New Life Medical Corporation
  • Korean American Medical Group
  • New Life Medical Group Incorporated
  • Noble Mid-Orange County (HealthSmart)
  • Orange County Advantage Medical Group
  • Regent Medical Group Incorporated (Regent Family Practice of Glendale)
  • Saigon Medical Group Incorporated
  • Southland Advantage Medical Group Incorporated
  • St. Peter Medical Group Incorporated
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