Download - Corp Overview
![Page 1: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/1.jpg)
TM
www.healthsmart.com
www.healthsmart.com
www.healthsmart.com
Overview toOverview to
Smarter Health BenefitsSmarter Health Benefits
![Page 2: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/2.jpg)
TM
www.healthsmart.com
Our VisionOur VisionTo be the healthcare industry’s leading provider
of innovative solutions.
To provide our clients with the highest quality healthcare solutions utilizing the latest technology and a resourceful team of professionals focused on
reducing costs and improving members’ health.
Our MissionOur Mission
![Page 3: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/3.jpg)
www.healthsmart.com
Totally Integrated & Innovative Healthcare Management OrganizationOver 700 Professional Healthcare Team Members Located Across the CountryPrivately Held Company With Revenue Over $140 MillionProviding Innovative Solutions to Over 8,000 Employer Groups NationwidePartnered With Over 520 Other Healthcare Benefit AdministratorsServing More Than 1,850,000 MembersManaging Over $3.2 Billion in Claims Annually
Corporate OverviewCorporate Overview
![Page 4: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/4.jpg)
www.healthsmart.com
Fully-Integrated Healthcare Solutions
Employer Benefit Services
Preferred Provider Network Solutions
Care Management & Wellness Programs
Prescription Benefit Management
On-Site Primary Care Clinics
Reinsurance & Risk Management Solutions
Information Technology Systems
Our Our SmarterSmarter Solutions Solutions
![Page 5: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/5.jpg)
TM
www.healthsmart.com
Think Smart,Think Smart,Act Smart-Act Smart-
Our Family of Our Family of ServicesServices
![Page 6: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/6.jpg)
www.healthsmart.com
Medical, Dental & Vision Administration Solutions
Preferred Provider Networks
Care Management & Wellness Programs
Prescription Benefit Management
On-Site Primary Care Clinics
Comprehensive Reinsurance & Risk Management
Information Technology Systems
Fully-Integrated Fully-Integrated Healthcare SolutionsHealthcare SolutionsEmployer Benefits on a Single Platform for Maximum Flexibility & Savings
![Page 7: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/7.jpg)
www.healthsmart.com
Primary PPO Networks
Customized Networks
Secondary/Wrap Networks
Regional & National Affiliate Providers
Specialty Care Networks
Dental Networks
Workers’ Compensation Networks
Preferred Provider Preferred Provider Network SolutionsNetwork Solutions
Significant Cost Savings From Quality Healthcare Providers
![Page 8: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/8.jpg)
www.healthsmart.com
Utilization Review
Case Management
Predictive Modeling
Disease Management
Transplant Management
Maternity Management
Care Management Care Management Solutions and Wellness Solutions and Wellness ProgramsPrograms
Non-network Negotiations
Wellness Coaching
Nurse Advice Line
Integrated Reporting
URAC Accredited Since 2002
Minimizes Cost & Improves Members’ Health
![Page 9: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/9.jpg)
www.healthsmart.com
Nationwide Network with Over 60,000 Participating PharmaciesBrand Name, Generic and Mail Order Pricing OptionsGeneric and Brand Formulary OptionsOnline Accumulators, Out-of-Pocket Tracking & Claims HistoryUser Friendly Reports
Prescription Benefit Prescription Benefit ManagementManagement
Transparent Solutions That Control Prescription Program Costs
![Page 10: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/10.jpg)
www.healthsmart.com
Employer Benefit Employer Benefit ServicesServices
Premium Billing/Payment Administration & Eligibility ManagementOnline & Automated Enrollment ServicesBrokerage Operation Services Form 5500 Preparation COBRA/HIPAA Administration Services FSA/HRA/HAS Administration Services
Medicare Claims Administration ServicesComplete Suite of Online Reporting & Analytic Services
Comprehensive Health Plan Solutions on a National Scale
![Page 11: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/11.jpg)
www.healthsmart.com
Employer On-Site Employer On-Site Primary Care ClinicsPrimary Care Clinics
Primary & Occupational Care for Employees & DependentsStaffed with Licensed Physicians & Medical ProfessionalsSupports Disease Management, PBM & Wellness InitiativesHealthcare Costs Reduced by Eliminating Layers of AdministrationReduces Employee Absenteeism
Reduces or Eliminates Healthcare Inflationary Trend
![Page 12: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/12.jpg)
www.healthsmart.com
Reinsurance & Risk Reinsurance & Risk ManagementManagement
Products Backed by Highly Rated Carriers
Preferred Partners Who Have Evaluated HealthSmart’s Managed Care Tools
Our Partners Deliver the Most Competitively Priced Solutions in the Market
Traditional Specific & Aggregate in All 50 States
Creative Solutions to Help Manage Our Clients’ Risk
Reduces Financial Exposure & Premium Expenses
![Page 13: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/13.jpg)
www.healthsmart.com
Information Technology Information Technology SystemsSystems
Complete Electronic Data Interchange (EDI) Clearinghouse Services
Back Office Functionality with PPO Repricing Services
Scanning & Optical Character Recognition (OCR) of Paper Healthcare Claims
Conversion to Electronic Claim Format
Electronic EOB/Payment Fulfillment
Customized Programming & IT Support
Streamlines Electronic Processing
![Page 14: Corp Overview](https://reader036.vdocument.in/reader036/viewer/2022062307/5567ab93d8b42ada108b5057/html5/thumbnails/14.jpg)
TM
www.healthsmart.com
Please Contact Us Please Contact Us forfor
Additional Additional InformationInformationThank You for Visiting