FAQs

How do I update my information with HMAA?

Please complete and submit a Provider Add, Delete, or Change Form to update your name, Tax Identification Number, specialty, address, billing address, etc., or to add or terminate a practitioner from your practice.

How do I update my information with HMAA?2021-10-30T00:16:10+00:00

How can I participate with HMAA?

Thank you for your interest in participating! HMAA provides access to medical and dental services through the HWMG Provider Network. To participate with HWMG, please visit the Participate with HWMG page, or contact our Provider Relations Department for assistance. We look forward to hearing from you!

How can I participate with HMAA?2021-10-30T00:16:10+00:00

What electronic tools does HMAA offer to providers?

We are pleased to offer a suite of electronic tools at no cost to participating providers to maximize efficiency for your practice. Online for Providers Interactive Voice Response System to verify member eligibility EDI Claim Submission Electronic Payment and Electronic Remittance Advice Services

What electronic tools does HMAA offer to providers?2021-10-30T00:16:10+00:00

What medical services require precertification?

View our Precertification Program list of services that is required under HMAA’s medical plans and subject to change at any time.

What medical services require precertification?2021-10-30T00:16:11+00:00

How may I obtain a copy of the Provider Administrative Procedure Manual?

To obtain the most up-to-date version of these documents, visit our Provider Forms & Information section, or contact our Provider Relations Department and we will gladly send you a copy.

How may I obtain a copy of the Provider Administrative Procedure Manual?2021-10-30T00:16:11+00:00

Who should I contact for questions regarding my contract, fee schedules, and other provider-related services?

Please contact our Provider Relations Department for questions regarding your contract, fee schedules, changes to practice locations or contact information, and other provider-related services such as Online for Providers and electronic claims submission. You may also contact us if you would like to schedule an on-site training with your staff. For all other inquiries, please contact our Customer [...]

Who should I contact for questions regarding my contract, fee schedules, and other provider-related services?2021-10-30T00:16:11+00:00

Where should I send my claims?

HMAA accepts claims electronically through Smart Data Solutions (Payor ID 48330). For further information, view our Electronic Data Interchange (EDI) FAQs section. If you cannot send claims electronically, you may send paper claims to the following address: HMAA P.O. Box 32580 Honolulu, HI 96803-2580

Where should I send my claims?2021-10-30T00:16:11+00:00

Do I need to get authorization from HMAA before obtaining medical services?

HMAA’s health plans require precertification of certain services and supplies. We recommend that you view our precertification list, which is subject to change at any time. If you are under the care of a participating provider in Hawaii or on the Mainland, he or she will obtain approval for you. If you are under the care [...]

Do I need to get authorization from HMAA before obtaining medical services?2021-10-30T00:16:11+00:00

Why can’t I access health information about my spouse or adult child?

HMAA respects the privacy and confidentiality of protected and individually-identifiable health information (PHI and IIHI). Once a dependent turns 14 years old, his/her parent or guardian will no longer be able to access the dependent’s health or insurance records without authorization from the dependent. This policy is in accordance with Federal and State confidentiality laws [...]

Why can’t I access health information about my spouse or adult child?2024-01-04T00:15:21+00:00