HMSA e-Claims System

Participating HMSA providers can submit claims electronically with HMSA’s free e-Claims, which are processed and paid faster than paper claims. The e-claims screen resembles a paper claim form, making it an easy transition, and pop-up boxes alert you if you make a mistake. If the e-claim form has a HIPAA or claim requirement error, an error message will be sent the next business day.

Submit e-claims online

Providers may submit electronic claims for all of HMSA’s lines of business over a secure Internet connection. Providers may also void and/or correct claims that were previously submitted.

Reduce delays caused by common data entry errors

Built-in form editors give providers error messages and reduce the likelihood of claims being rejected.

Comments from e-claim users

• Quick and easy to enter HMSA e-Claims. Glad to be paperless.
• Claims containing errors are reported back to us quickly.
• My rejection rate is down significantly, which caused more work in the past to re-write claims.
• The e-claim reports help me manage my HMSA e-Claims.

HMSA e-CLAIMS SYSTEM REQUIREMENTS:

Technical

• Internet access
• Web browser – Internet Explorer (version 7 or higher)
• National Provider Identifier (NPI)
• HHIN+ Access

Agreements

The following electronic agreements can be accessed online. They must be printed, reviewed, and authorized & signed by the provider or the provider’s authorized official. All pages of the agreement must be returned for validity.

• Electronic Trading Partner Agreement [PDF]
• Access Request and Contract to Preserve Confidential Information Form [PDF]
• Business Associate Authorization Form [PDF]

If you have questions regarding these agreements, please contact the ETS Outreach staff.

CONTACT US:

HMSA’s Electronic Transactions Services (ETS) unit handles all of your electronic product needs. We will assist you from the initial request to the set-up & training.

Business Hours: Monday – Friday, 8 AM to 4:30 PM

Outreach and Training Support

For more information about HMSA’s electronic products, to request a new setup, or if you need training, please contact Electronic Transaction Services Outreach.

ETS Outreach

• Call 808-948-6255 on Oahu or 1-800-603-4672, ext. 6255, toll-free on the Neighbor Islands.
• Click here to submit an online request Contact ETS Outreach
• Email to ETSOutreach@hmsa.com

Technical Support

For technical questions, to request, or check on status of changes to your current EDI set-up, please contact one of the ETS Help Desks.

EDI Help Desk

• Call 808-948-6355 on Oahu or 1-800-377-4672 toll-free on the Neighbor Islands.
• Email to edisupport@hmsa.com

HHIN+ Help Desk

• Call 808-948-6446 on Oahu or 1-800-760-4672 toll-free form the Neighbor Islands.
• Email to hhinhelpdesk@hmsa.com

Revision History