Decorative arrowsHMSA Provider Resource Center
HomeNews and AlertsE-LibraryMedicare E-LibraryCommunications ArchiveQUEST Integration
Frequently Asked QuestionsUseful Web SitesContacting HMSA

Claims Filing Information



Electronic Transactions


HMSA offers several electronic transaction options that are electronic data interchange (EDI) compliant. EDI is an electronic communication method that provides standard formats for sending electronic claims, receiving remittance information, and getting eligibility and claim status information.


HMSA supports the following EDI transactions:


For more information about these products and to learn how to get started, refer to the online EDI HELP GUIDE or click here to Contact ETS Outreach. Or you can call the ETS Outreach team at 948-6255 on Oahu or 1(800)603-4672, ext. 6255 toll-free on the Neighbor Islands.



Hard-Copy Paper Claims


You can also submit a paper claim for reimbursement. For more information about completing your claim form, refer to the CMS 1500 Claims Filing Highlights and the CMS 1500 Claim Form – General Instructions. Click here for the Claims Mailing Addresses.


If you have a complicated claim question or concern, you can call HMSA’s Customer Relations at (808)948-6330 on Oahu or 1(800)790-4672 toll-free on the Neighbor Islands.




To view the previous version of this page, see Claims Filing Information - Obsolete



First Published:09/18/2017
Latest Revision:09/19/2017
Back to Top

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

Decorative arrowsHomeNews and AlertsE-LibraryMedicare E-LibraryCommunications ArchiveQUEST IntegrationFrequently Asked QuestionsUseful Web SitesContacting HMSA

Non-discrimination notice

Need a language interpreter?

ʻŌlelo Hawaiʻi | Bisaya | 繁體中文 | Ilokano | 日本語 | 한국어 | ພາສາລາວ | Kajin Ṃajōḷ | Lokaiahn Pohnpei | Gagana Sāmoa | Español | Tagalog | Tonga | Foosun Chuuk | Tiếng Việt