Welcome to the Reference section.
Get the information you need to work efficiently with HMSA.
Provider Library – Medical policies, formulary information, claims filing procedures, behavioral health guidelines, and more.
Plan Libraries – Policies, procedures, forms, etc. specific to our Medicare and QUEST Integration plans.
Programs – Information about Payment Transformation, Pay for Quality, PCMH, Disease Management, and Case Management.
Training – Webinars and training materials on topics such as payment transformation, annual wellness visits, QUEST Integration, NovoLogix, and more.
Out of Area Policies – Medical policies and precertification and preauthorization information for out-of-area members.
FAQ’s – Questions that were already asked and answered.
Contact Us – Contact information for various HMSA departments that are here to serve you.
Files that are in PDF format can be viewed using the free Adobe Reader or another PDF-reader application.
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