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CredNet

HealthSmart

dentalmedical

Summary

HealthSmart is a dental and medical payer. Claims route under payer ID 34145, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
34145Also seen as 5422, 6555
Also known as
Klais and Company

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for HealthSmart?
The payer ID for HealthSmart is 34145. Alternate IDs seen across clearinghouses include 5422, 6555.
Does HealthSmart require ERA enrollment?
Yes. HealthSmart requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What types of coverage does HealthSmart offer?
HealthSmart covers dental and medical.
Can I submit claims to HealthSmart electronically?
Yes. HealthSmart is reachable through clearinghouses for professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.