Simply complete and submit our Provider Contracting Application

To update your name, Tax Identification Number, specialty, address, billing address, etc., or to add or terminate a practitioner from your practice:

• Complete a Provider Add, Delete, or Change Form and fax it to (808) 591-0463 or mail it to 737 Bishop Street, Suite 1200, Honolulu, HI 96813
• Call our Provider Services Department at (808) 591-0088 ext. 304 or Toll-Free at (800) 621-6998 ext. 304; or
• Email our Provider Services Department at ProviderServices@hmaa.com

HMAA/HWMG accepts claims electronically through our partnerships with DentalXChange and TESIA-PCI clearinghouse.

DentalXChange (Payor ID 48330) offers the following services through their ClaimConnect solutions suite:

• Direct Data Entry solution at no cost to you
• Compatible with nearly every PMS solution for batch submissions
• No maintenance or software fees
• Detailed on-line reporting and claims tracking

For more information, you may contact DentalXChange at (800) 576-6412 ext. 455 or register online.

TESIA-PCI (Payor ID TFQ61) also accepts claims from the following:

• Dentrix/NIS (practice management software)
• Renaissance Systems & Services (RSS)
• Softdent
• Inova (Software Creations)
• PracticeWorks
• CareStream
• QSI
• SecureEDI/ANS

For more information, you may contact TESIA-PCI at (800) 724-7240 or register online.

HMAA/HWMG
P.O. Box 32580
Honolulu, HI 96803-2580

Please contact our Provider Services Department for questions regarding your contract, fee schedules, changes to practice locations or contact information, and other provider-related services (Online for Providers, electronic claims submission, etc.). Our Provider Services team strives to make it easy to do business with us and is available Monday through Friday, 8 am-5 pm.

• Phone: (808) 591-0088 ext. 304 or (800) 621-6998 ext. 304
• Email: ProviderServices@hmaa.com
• Fax: (808) 591-0463
• Mail: 737 Bishop Street, Suite 1200, Honolulu, HI 96813

Please call us if you would like to schedule an in-office training for your staff.

For all other inquiries, please contact our Customer Service Center Monday through Friday, 8 am-4 pm at:

• Phone: (808) 941-4622 or Toll-Free (888) 941-4622
• E-mail: CustomerService@hmaa.com

Our Provider Administrative Procedure Manual is an extension of your provider agreement and includes important information about our policies and procedures. In our Providers Forms and Information, a copy of the manual is available under the Administrative Procedure Manuals section and the procedure guidelines are available under the Claim Codes & Guidelines section.

Dental procedures requiring ASC or inpatient setting requires pre-certification.

Although they are not mandatory, pre-determinations are highly recommended for services over $300.

You may go to our Provider Directory to obtain a list of specialists in our network in Hawaii and the Mainland.

HMAA/HWMG offers a suite of electronic tools for free to our participating providers to maximize efficiency for your practice.

• Online for Providers
• Interactive Voice Response System to verify member eligibility
• EDI Claim Submission (see question #3 for additional information)
• Electronic Funds Transfer (EFT) and Electronic Remittance Advice

Let us know how we can improve on our tools and services by completing a Satisfaction Survey.