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HMAA is celebrating 35 years! |
Your group’s COBRA Continuation Coverage status is still active if you employed at least 20 full-time equivalent employees (FTEs) for at least 6 months during the preceding calendar year and informed HMAA of this by providing your company’s UC-B6 or Quarterly Wage Report for the preceding year. Your COBRA coverage will remain in active status [...]
No, you may not unbundle your rider offerings and offer these as voluntary coverage to your employees. However, HMAA provides the following options to help mitigate the loss of employer-provided coverage: Optum Perks is a prescription drug savings program through which your employees can obtain a free discount card online and instantly save on select [...]
HMAA previously accommodated employer requests to change plan offerings outside of open enrollment; however, plan changes are now allowed only during your company’s open enrollment/renewal period with HMAA.
Yes, we offer ERA and ePayment services through Zelis Payments. Contact our Provider Relations Department for further information.
Please choose either paper or electronic filing, not both. Filing twice, by paper and electronically, will result in duplicate claim handling by HMAA. Note: This does not apply to specific requests by HMAA for paper claims with additional attachments that must be submitted by paper.
Some vendors offer a service that automatically converts electronic claims to paper if they are rejected during transmission to the next vendor. Review your SDS rejection reports and contact your vendor to discuss how they handle rejected claims.
The problem could result from several different causes. Please review the steps below. Routinely review your confirmation and rejection reports to ensure all of your claims were transmitted to HMAA by your vendor (if applicable) and SDS. Ensure eligible claims are flagged in your system to be sent electronically to SDS using HMAA’s payor ID, [...]
You should review the confirmation and rejection reports supplied by your vendor and SDS each time you transmit claims to HMAA. These reports should be used to compare your actual submission totals against the totals shown on the reports. They will confirm which claims have reached their destination and which claims were rejected. If you [...]
HMAA accepts 5010 standard EDI claims through our clearinghouse, Smart Data Solutions.
If you currently use a clearinghouse for electronic submission of claims to other payors, you may be able to submit HMAA claims through your existing connection. SDS accepts claims from Claimsnet, Proxymed, Medavant, THIN, ENS, and several others. For assistance, please contact Smart Data Solutions Monday through Friday 9 am – 5 pm CST toll-free [...]
