Dental Providers FAQs

HMAA provides access to dental services through the HWMG Provider Network. Following are some of the common questions we receive from providers about our network. If you have a question that isn’t addressed here, feel free to Contact Us.

  1. How can I participate with HMAA?
  2. How do I update my information with HMAA?
  3. I received a ZixCorp secure email message from HWMG or HMAA. How do I open or reply to the message?
  4. Where should I send my claims?
  5. Where can I find information about transitioning to ICD-10 codes?
  6. Whom should I contact for questions regarding my contract, fee schedules, and other provider-related services?
  7. How may I obtain a copy of the Provider Administrative Procedure Manual and/or Dental Processing Guidelines?
  8. What dental services require pre-determination?
  9. How may I obtain a list of specialists to refer my patients to?
  10. What electronic tools does HMAA offer to providers?
  1. How can I participate with HMAA?

    Thank you for your interest in participating! Please visit our Participate Today section, or simply call HWMG’s Provider Relations Department at 591-0088 ext. 304 or toll-free at (800) 621-6998 ext. 304 for assistance. We look forward to hearing from you!

  2. How do I update my information with HMAA?

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

  3. I received a ZixCorp secure email message from HWMG or HMAA. How do I open or reply to the message?

    To open or reply to a ZixCorp secure email message you received from HWMG or HMAA, view our instructions and frequently asked questions regarding our Secure Message Center.

  4. Where should I send my claims?

    HMAA accepts claims electronically through our partnership with Smart Data Solutions.

    Smart Data Solutions (Payor ID 48330) is HMAA’s EDI clearinghouse for electronic claims. If you are currently sending claims through Tesia PCI or through any Smart Data Solutions’ trading partners, we will continue to receive your claims for payor ID 48330.

    You can call Smart Data Solutions Monday through Friday 9 am – 5 pm CST toll-free at (855) 297-4436 or email stream.support@sdata.us to set up a direct connection.

  5. Where can I find information about transitioning to ICD-10 codes?

    View our FAQs for ICD-10 codes to assist you with the transition when submitting claims. You may also view the ICD-10-CM/PCS FAQs released by CMS for guidance.

  6. Whom 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 including Online for Providers and electronic claims submission. Our team strives to make it easy to do business with us and is available Monday through Fridays 8 am – 4 pm.

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

    Please call us if you would like to schedule an on-site training with your staff.

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

  7. How may I obtain a copy of the Provider Administrative Procedure Manual and/or Dental Processing Guidelines?

    Our Provider Administrative Procedure Manual is an extension of your provider agreement and includes important information about our policies and procedures. Contact our Provider Relations Department and they will gladly send you a copy. Our Dental Processing Guidelines are available online in the Providers Forms & Information section.

  8. What dental services require pre-determination?

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

  9. How may I obtain a list of specialists to refer my patients to?

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

  10. What electronic tools does HMAA offer to providers?

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

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