We encourage you to take advantage of our Electronic Data Interchange (EDI) services, which include electronic claim filing, electronic remittance advice, and batch and real-time eligibility and claim status. Our EDI system is available 24 hours a day, seven days a week.
If you have any questions, please check our EDI Support documents for providers and technical staff, as well as the Trading Partner Manual, Trading Partner Agreement, and companion guide documents.
Need to talk with someone? Call Electronic Transaction Services at 948-6355 on Oahu or 1-800-377-4672 toll-free on the Neighbor Islands.
You can also submit paper claims for reimbursement. The Claims Filing Highlights will help you ensure that claims are prepared correctly.
See our Frequently Asked Questions for information about where to submit claims, checking on a claim's status, printing requirements, and much more.
If you have a complex claim, call a Provider Teleservice representative at 948-6330 on Oahu or 1-800-790-4672 toll-free on the Neighbor Islands.
|Rev#:||Date:||Nature of Change:|
|1.0||06/27/2012||Removed: "HIPAA 4010A1 Companion Guide Documents" and "These are the current TPM, TPA and 4010A1 Companion Guides that will be valid until Jan. 1, 2012."along with the link to these companion guides, as these guides are no longer valid.|
|1.1||05/20/2013||Added a link to the new "HMSA’s Online e-Claim System".|
|1.2||05/23/2017||Replaced the link to the EDI FAQs with the new EDI Help Guide PDF|
Files that are in PDF format can be viewed using the free Adobe Reader or another PDF-reader application.
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