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Provider Relations/Contracting is an integral component in maintaining the cohesiveness of our clients contracted networks. It is extremely important to keep lines of communication open between the healthcare providers, our clients and HealthSmart MSO. This department addresses and resolves concerns of the providers. HealthSmart has developed a courteous Provider Services Team to assist you in complying with IPA policies and procedures, health plan audits, and regulatory changes. We are only a telephone call away. Please contact our staff by e-mail or call (714) 947-8600 with any questions or issues you may have. Our experienced Provider Services Representatives are available to discuss with the Office Manager or Physicians about the following:

  • Eligibility
  • Claims
  • Compliance Issues
  • Utilization Management
  • Referral Authorizations
  • Physician Office Policies and Procedures