HMSA’s My Account offers a better way to view your Hawaii and out-of-state claims information for most plans.

Not all of our HMSA plans have this function. If you need your claims information and can't find it in My Account, please contact HMSA Customer Relations.

With this Web tool, you can:

• See a summary of your medical and vision services sorted by date of service.
• Sort claims by date of service, provider, status, and the amount you may owe.
• Search for specific claims.
• See whether claims are “processed” or “in process.”

To view claims in My Account:

• Register and log on to My Account. Each plan member age 18 and older must create their own My Account.
• Click View all claims under the list of Recent claims. You can also click on the Claims tab at the top of the page and select Medical claims.
• Plan subscribers can view claims for dependents under the age of 18 by using the Member filter. Spouses will have access only to their own claims.
  • For example, Mary (a plan subscriber) may view her daughter’s claims, but her husband, John (who is listed as a spouse on Mary’s plan), will only be able to view his own claim information through My Account.

Claims labeled “in process” won’t have detailed information, but will let you know the claim has been received.

Clicking on each claim will display the following details about how your services are paid:

• Full price: The amount your provider billed for the service.
• HMSA discount: The amount HMSA has negotiated with a provider on your behalf. Applied only when you use a participating HMSA provider.
• Eligible charge: The total amount eligible for payment to a participating provider.
• HMSA paid: The amount HMSA paid you or your provider.
• You may owe: The amount you may owe the provider.
• Claim messages: Indicated with a  symbol, these are typically explanations about why a particular service was denied. To view the message, click on the row where you see the symbol.

If applicable, the detail screen may provide other information, such as the amount applied toward your plan’s annual deductible or payments made by other insurers.

If you currently receive Report to Member (RTM) statements online, you’ll continue to receive your RTMs in My Account. The tool includes convenient links to your RTMs.