HMSA
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Provider Portal
https://hhin.hmsa.com/HHIN/Login/Login.aspx
- Call 808-948-6255 to set up access.
Claims Submission
Mail paper CMS-1500 to:
HMSA Quest
Quest Integration
PO Box 3520
Honolulu, HI 96811-3520
HMSA CMS-1500 Claim Form Instructions
https://hmsa.com/portal/provider/Basic_Claims_Filing_for_HMSA_CMS_1500_062018_SLIDES.pdf
Current HMSA Quest Payouts
90791 $126.81
90837 $107.58
90834 $72.21
90832 $49.49
Current HMSA PPO Payouts
90791 $135.21
90837 $113.68
90834 $103.97
Notes
- You must enter your HMSA Provider ID in box 33b of the CMS-1500, otherwise it will be rejected. NOTE: Each type of HMSA insurance plan has its own Provider ID (Quest, etc.) - adding the wrong Provider ID will result in a rejection.
- HMSA does not return incorrect CMS-1500 forms, just a letter stating the problem with the claim.
- CMS-1500 rejection notifications arrive in about 21 days from date mailed by provider.
- You can not see a QUEST client until you are an enrolled provider with the State of Hawaii's Med-Quest program (HOKU). You might need to inform HMSA that you are enrolled with medquest via email to Provider_Data@hmsa.com.
- HMSA has a free online claims submission portal that you must request access to (HHIN). Checks are mailed.