Netsmart solutions simplify the business side of care delivery

Care Administration

Free up precious resources for patient care with Netsmart Care Administration solutions. From credentialing and real-time eligibility verification to patient-centric payment portals, these solutions simplify and streamline the business side of healthcare.

In this section

Claims Adjudication

Business rules engine and automated claims matching simplify claims processing for state agencies and managed care organizations (MCOs). The web-based solution aggregates claims data from electronic visit verification (EVV) applications and electronic health records (EHRs).

Clearinghouse & Third-Party Liability

This comprehensive claim submission and remittance management platform increases first-pass acceptance rates (98 percent or greater), speeds up delivery to payers and reduces denials.


Reduce administrative time spent on credentialing and provider enrollment by 60 percent with assistance from Netsmart.

Document Management

EHR-integrated document management and capture solutions give care teams access to documents from within the familiar context of their EHR.

Eligibility Management

This clearinghouse solution includes batch verification and real-time eligibility verification to increase billing accuracy for the populations you serve.

Payment portal

Clients can set up set up and manage self-serve payments, payment plans, electronic statement delivery and payment preferences with this patient-centric solution.

"It is well worth the money to spend time with the experts at Netsmart to review what we use, how we use it, and how we can do better."

Shelly Miller - Chief Financial Officer, Willow Health Care

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From the CareThreads Blog

Maximizing Public Sector Budgets With Key Operational Strategies

Tuesday, April 06 | Thought Leadership,Revenue Cycle/Billing

In this recent Netsmart CareThreads podcast, Carol Reynolds spoke with Danielle Ross and Erica Gregory regarding ways public sector agencies can better maximize budgets, especially in light of recent monetary constraints and changing care delivery methods.


Creating a More Inclusive World: Developmental Disabilities Month

Tuesday, March 30 | Client Success Stories,Thought Leadership

While Developmental Disabilities Month is soon to come to a close, the efforts, communication and collaboration to achieve more inclusion need to continue. Check out how Hammer Residences continues to serve their community while advocating for awareness beyond the month of March.


In Case You Missed It: Coordinating Care to Reduce Crisis

Tuesday, March 23 | Human Services,Care Coordination,Client Success Stories,Value-based Care

In this webinar recap, learn how implementing care coordination tactics, instigating community provider collaboration and discovering benefits of population health management tools and data analytics helps positively impact the crisis continuum.