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.
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
|Rev#:||Date:||Nature of Change:|
|2.0||09/18/2017||This document replaces the previous version.|
|2.1||09/19/2017||Updated the phone numbers for the ETS Outreach team.|
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