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hmsa blue card department phone number

by Laurianne Predovic Published 9 months ago Updated 5 months ago

If you have other questions about submitting claims for services rendered to out-of-state Blue Cross and Blue Shield members, you may call HMSA's BlueCard Program at 948-6280 on Oahu or 1 (800) 648-3190 from the Neighbor Islands.Jan 21, 2022

Where do I send HMSA bluecard claims?

Jan 21, 2022 · If you have other questions about submitting claims for services rendered to out-of-state Blue Cross and Blue Shield members, you may call HMSA's BlueCard Program at 948-6280 on Oahu or 1 (800) 648-3190 from the Neighbor Islands.

Why do I need an HMSA membership card?

HMSA is here with you. In these challenging times, dependable health care is more important than ever. With HMSA, you have quality care from your choice of doctors and specialists and Hawaii’s top hospitals. It’s freedom of choice and peace of mind for …

How do I Find my HMSA Member ID?

Provider Data Administration. Provider Services (Automated Answering System) Provider Services for the HMSA Plan for QUEST Integration Members. Appeals Unit. Phone. Oahu - (808) 948-5090. Neighbor Islands - 1 (800) 462-2085 toll-free. Fax. All islands - 1 (808) 952-7546 on Oahu.

What is the difference between HMSA member IDs and bluecard member IDs?

Jan 21, 2022 · First, look for the three-character prefix at the beginning of the member's Blue Cross and/or Blue Shield identification number. Once you have located the prefix, you can call BlueCard Eligibility at 1 (800) 676-BLUE (2583) or log on to the Hawaii Healthcare Information Network (HHIN) to verify the member's plan and benefits coverage.


What is HMSA blue card?

BlueCard is a national program that enables most HMSA PPO members to obtain health care services while traveling or living in another Blue Cross or Blue Shield company's service area.Jan 13, 2022

What is PPO HMSA?

PPO (preferred provider organization) PPO plans let you see any provider you prefer in HMSA's network of participating providers . You can also see nonparticipating providers , but they may charge more than participating providers.Feb 1, 2022

Can you use HMSA outside of Hawaii?

Note: The HMSA Children's Plan covers emergency care outside of Hawaii, but doesn't cover other services outside of Hawaii, including urgent and routine care. If you experience a medical emergency while traveling outside Hawaii, go to the nearest emergency facility.Aug 29, 2012

How do I cancel my HMSA membership?

Call HMSA's Customer Service at 808-948-6111.

How do I know my HMSA plan?

You can find out what plan you have simply by looking at your HMSA membership card. Consult your Guide to Benefits to find out what your plan covers.

Which is better a HMO or PPO?

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.Sep 19, 2017

What does Hmsa stand for?

Hawaii Medical Service AssociationEstablished1938President and CEOMark M. MugiishiAffiliationsBlue Cross Blue ShieldEmployees1,600 (2021)Websitehttps://hmsa.com/6 more rows

Does Blue Shield work in Hawaii?

Hawaii QUEST is a Medicaid managed care program run by the Blue Cross Blue Shield health plan HMSA.

Is Hmsa Akamai Advantage Medicare?

HMSA Akamai Advantage® is a Medicare Advantage plan to help members live well. It has all the benefits of Original Medicare and much more to help them be at their best health and well-being.

How do I find my Hmsa Subscriber ID?

If you need your subscriber ID to register for My Account, please call HMSA Customer Relations for help. You may also request your duplicate card when you call. You'll receive a duplicate card in five to seven business days.Jul 27, 2012

What is the phone number for Blue Cross Blue Shield?

If you have other questions about submitting claims for services rendered to out-of-state Blue Cross and Blue Shield members, you may call HMSA's BlueCard Program at 948-6280 on Oahu or 1 (800) 648-3190 from the Neighbor Islands. -.

How to verify BlueCard eligibility?

There are two ways you can verify out-of-state BlueCard member eligibility: by phone or through the HHIN Documents & Information . These services allow providers to obtain information about covered benefits, plan deductible amounts, copayments and more.

What does it mean when a Blue Card does not have a suitcase logo?

If the member's card does not have the suitcase logo or a three-character prefix, they are enrolled in a plan that is exempt from the BlueCard Program. Claims for these members should be filed directly to the member's Blue Cross and Blue Shield plan.

When is Hhin available in Hawaii?

HHIN is available from 1 a.m. until 7 p.m. Hawaii Standard Time when the Mainland is on daylight-saving time; 2 a.m. until 8 p.m. when on standard time. Scroll down for more details on how to use HHIN to verify BlueCard member eligibility.

Who is responsible for refunding a patient after payment is made by HMSA?

Participating providers who collect in full at the time of service will be responsible for refunding the patient and accepting the appropriate provider adjustment after payment is made by HMSA. If you have questions about previously processed claims, call HMSA's BlueCard Program at 948-6280.

Can you submit a claim to HMSA?

When you render services to a member of another Blue Cross and Blue Shield plan, HMSA's reciprocal agreements within the Blue Cross and Blue Shield Association – referred to as the BlueCard Program – allow you to submit claims directly to HMSA and receive payment for your services through HMSA, based on your participating agreement.

Supporting our community through the COVID-19 pandemic

As we continue to monitor the outbreak, we’re working to provide reliable information and access to care. As always, your health and well-being are top priorities for HMSA.

Telehealth and Other Resources

Want to talk to a doctor from home? Our telehealth resources can help!

What is the phone number for the Island of Hawaii?

All islands - 1 (800) 820-7248 toll-free. Available seven days a week, 4:30 p.m. to 7:45 a.m.

What is the number for neighbor islands?

The title appears in the article and in search results. Neighbor Islands - 1 (800) 459-3961 or 1 (800) 459-3962 toll-free. Available Monday to Friday, 8 a.m. to 5 p.m. After-hours calls are received by a voice mail system and answered the following business day.

What is an HMSA card?

Your HMSA membership card identifies you as an HMSA member and enables providers to determine your plan benefits. Always carry your card with you and present it whenever you receive services. This will help to ensure your claims are processed correctly.

Do you get a new HMO card if your health insurance plan changes?

You’ll receive a new card when your plan information changes. Your covered spouse and dependents will also receive new cards. Examples of changes that affect the information on your HMSA membership card: Your medical plan has changed. The dependents on your HMO plan have changed.

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