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Payer Directory

How to check HealthSmart Preferred Care Inc. eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. HealthSmart Preferred Care Inc. has no eligibility API — so instead of your staff doing that, our screen agent runs the portal check for you, on your schedule.

Payer ID 75250Screen agent · setup required

Three ways to verify HealthSmart Preferred Care Inc. coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
  3. Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.

HealthSmart Preferred Care Inc. at a glance

What billers need before running a check.

Payer ID
75250
Also known as 1517, 2724, HSPC1
Real-time eligibility
Via screen agent
HealthSmart Preferred Care Inc. has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.
Coverage
medical
Operating area
Not published
Payer website
www.healthsmart.com

Supported transactions

What can be exchanged electronically with HealthSmart Preferred Care Inc. 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

Portal vs. phone vs. automated

The same verification, three ways.

Payer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per check~$7.97 staff time*~$7.97+ staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*CAQH Index benchmark for a manual eligibility verification.

Frequently asked questions

What is the payer ID for HealthSmart Preferred Care Inc.?+
HealthSmart Preferred Care Inc. uses payer ID 75250. It also appears as 1517, 2724, HSPC1 in some systems.
Does HealthSmart Preferred Care Inc. support real-time eligibility verification?+
HealthSmart Preferred Care Inc. has no eligibility API, so there is no 270/271 transaction to send. Checks still run automatically: our screen agent performs the portal check for you on your schedule, rather than a staff member doing it per patient. Setup is required. Claims can be submitted electronically.
How long does a HealthSmart Preferred Care Inc. eligibility check take?+
A portal check takes 10–15 minutes of staff time per patient. A screen agent runs the same check without occupying anyone — scheduled ahead of the day's appointments, so results are waiting rather than being fetched one patient at a time.

Run your first HealthSmart Preferred Care Inc. eligibility check

From $0.50 per check, pay-as-you-go. No contract, no implementation project.

Billing more than HealthSmart Preferred Care Inc.? — upload it and see which of your payers run automatically.

65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production