Provider Portal - At Your Fingertips
HMSA is pleased to offer this comprehensive, frequently updated online reference for healthcare providers who serve HMSA members. We encourage you to familiarize yourself with the Provider Resource Center's sections, particularly the following:
View specific policies and processes associated with our QUEST Integrated14
(Medicaid) and Akamai15
View webinars and materials on Payment Transformation, Pay for Quality, ICD-10, QUEST Integration, Akamai Advantage, and other topics
Look up medical policies and pre-certification / pre-authorization information for out-of-area members
View providers’ questions regarding provider support, claims, medical policies, pre-certification, appeals, contracting, radiology management, and other topics.
Helps you find contact information for the various departments at HMSA that are here to serve you.
A list of websites which we think may be helpful to you, such as State and Federal agencies, coding references, etc.
Read about recent news that impacts providers, or view the archive of previous news that may still apply
Review HMSA communications to providers via HealthPro News and other channels
Learn about HMSA’s mission, our history, the plans we offer, and how to apply to join our network.
Begin the process of joining HMSA’s provider network.