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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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HMSAs credentialing program is a quality improvement activity intended to ensure that HMSA members receive care from qualified health care providers. HMSA verifies the credentials of providers who: Seek to participate with HMSA. Are listed in HMSAs participating provider directories.
To submit a drug claim to HMSA, you must complete the Prescription Reimbursement Claim Form and mail it to HMSAs pharmacy benefit manager. Our pharmacy benefit manager will review and process your claim ing to your HMSA plan benefits.
The HMSA Authorization to Release Documents and Information and Dispute Resolution Agreement is required by law and confirms that youre aware that HMSA performs peer, quality assurance, accreditation, and compliance reviews with its participating providers.
If you have questions, email cws@hmsa.com or call HMSAs Consumer Web Support team at 1-800-720-1344 toll-free. If you email us, please include a phone number so our support team can call you back.
Military facility claims must be submitted to HMSA within 6 years of the date of service. Participating Medicare Advantage providers have one year from the date of service to file all claims (e.g.; initial submissions, resubmissions, adjusted submissions) to HMSA.

People also ask

Call 808-948-6486 or 1-800-440-0640 toll-free. Visit the HMSA QUEST Integration webpage.
If you need to change your HMO primary care provider (PCP), call HMSA Customer Relations at 808-948-6372 on Oahu or 1-800-776-4672 toll-free. Whether youre a new member or have been with us for awhile, we have some important information to share with you.
To submit a drug claim to HMSA, you must complete the Prescription Reimbursement Claim Form and mail it to HMSAs pharmacy benefit manager. Our pharmacy benefit manager will review and process your claim ing to your HMSA plan benefits.

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