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HealthSmart Benefit Solutions

dentalmedical

Summary

HealthSmart Benefit Solutions is a dental and medical payer operating in Tennessee. Claims route under payer ID HSBS, with 9 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
HSBSAlso seen as 10003, 10408, 11079, 11169, 37224, 37272 and 3 more
Also known as
HealthSmart C-8 Program, JSL Administrators, Wells Fargo TPA
Service area
TN

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for HealthSmart Benefit Solutions?
The payer ID for HealthSmart Benefit Solutions is HSBS. Alternate IDs seen across clearinghouses include 10003, 10408, 11079, 11169.
Does HealthSmart Benefit Solutions require ERA enrollment?
Yes. HealthSmart Benefit Solutions requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does HealthSmart Benefit Solutions cover?
HealthSmart Benefit Solutions operates in TN. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does HealthSmart Benefit Solutions offer?
HealthSmart Benefit Solutions covers dental and medical.
Can I submit claims to HealthSmart Benefit Solutions electronically?
Yes. HealthSmart Benefit Solutions is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, and electronic remittance. Electronic claims are supported for professional (837P).

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 Spot something out of date?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.