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Medicare

The following documents are documents pertinent to Medicare. Please note that this list is still in progress.

 

Akamai Advantage:

 

 

 

 

 

 

 

HMSA - CMS 1500 Claims (Professional)

P.O. Box 44500

Honolulu, HI 96804-4500

 

HMSA - UB-04 Claims (Facility)

P.O. Box 32700

Honolulu, HI 96803-2700

 

HMSA - CLAIMS (Member, Professional or Out of State)

P.O. Box 860

Honolulu, HI 96808-0860

 

HMSA - DENTAL

P.O. Box 1187

Elk Grove Village,  IL 60009-1187

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Document Name:Document Number:
Aimovig (erenumab-aooe)pel.ph.AIM.750
Alimta (Pemetrexed)pel.ph.ALI.500x
Aliqopa (copanlisib)pel.ph.ALQ.700
Arcalyst (rilonacept)pel.ph.ARC.700
AVASTIN (bevacizumab)pel.aa.AVA.500x
Berinert (C1 esterase inhibitor)pel.ph.BER.700
Botulinum Toxins (BOTOX, DYSPORT, MYOBLOC and XEOMIN)pel.aa.BOT.501
Cardiac-Related Procedurespel.aa.CAR.700
Cuvitru (Immune Globulin Subcutaneous [Human], 20% Liquid)pel.aa.cuv.700
Dietetic Treatment of Eating Disorderspel.aa.DIE.501
Hizentra (Immune Globulin Subcutaneous [Human], 20% Solution)pel.aa.hiz.700
Immune Globulin Therapypel.aa.INT.701
Medicare Diabetes Prevention Programpel.aa.MED.600
Medicare Risk Adjustmentpel.aa.MED.650
Mylotarg (gemtuzumab ozogamicin)pel.ph.MYL.700
Off-Label Drug Usepel.aa.OFF.601
Palynziq (pegvaliase-pqpz)pel.ph.PAL.750
Soliris (eculizumab)pel.ph.SOL.700
Somatuline Depot (lanreotide)pel.ph.SOM.700
Spinraza (nusinersen)pel.ph.SPI.700
Torisel (temsirolimus)pel.ph.TOR.700
 

Files that are in PDF format can be viewed using the free Adobe Reader or another PDF-reader application.

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