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The TPA that pays you fast — and picks up the phone.

When a health plan runs on SmartTPA, your billing team stops fighting the system. Real-time eligibility before the visit, clean claims that adjudicate in seconds, remittance with reason codes that actually make sense, and a portal built to respect your time.

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Real-time 270/271 eligibility835 electronic remittanceClear CARC/RARC reason codes
Front-desk staff checking in a patient at a medical office

Built to meet the strictest healthcare standards

  • HIPAA Aligned
    2026 Security Rule
  • Security-First Architecture
    SOC 2 in progress
  • AES-256 Encryption
    At rest & in transit
  • Immutable Audit Logs
    7-year retention
  • Clearinghouse-Ready EDI
    Claims in, remittances out
< 2 sec
Clean-claim adjudication
Real-time
270 / 271 eligibility
835 EDI
Electronic remittance
One portal
Eligibility, status, remits

Less friction on every claim — from eligibility to payment.

You don’t pick the plan’s administrator — the employer does. But when that administrator is SmartTPA, the work on your side gets noticeably easier. See exactly how a claim moves through the platform.

Eligibility before the visit

Run 270/271 in real time and know exactly what's covered before the patient is in the chair — no hold music, no callbacks the next day.

Clean claims clear in seconds

Submit an 837 and clean claims auto-adjudicate in under two seconds. No manual queue, no claims sitting in limbo for weeks.

Remittance that makes sense

835s arrive with clear CARC/RARC reason codes. When a line is adjusted, you see exactly why — the first time, not after three phone calls.

Predictable, prompt payment

Clean claims pay promptly on a schedule you can plan around. Your cash flow stops guessing what the plan's administrator will do.

Fewer denials, fewer resubmits

Validation catches the coding and coverage issues that usually trigger denials up front — so your team spends less time reworking claims.

A portal — and a human

Eligibility, claim status, and remittance in one place. And when you do need a person, you reach one who can actually help.

The smoother the claim, the more your patients can actually use their care.

If you’re an employer or broker tired of a TPA that buries providers in friction, that’s exactly what we set out to fix.

For employers For brokers

For providers & billing teams

See how a claim actually moves.

Walk through eligibility, adjudication, and remittance on the platform — or reach our team with a question about a SmartTPA-administered plan.

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