Hwmg medical form 2026

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  1. Click ‘Get Form’ to open the hwmg medical form in the editor.
  2. Begin with Section 1: General Practice Information. Fill in your Type 2 National Provider Identifier Number (NPI) and Federal Taxpayer Identification Number. Ensure that your Business Name matches what is on your W-9.
  3. Indicate your Type of Practice by checking the appropriate box. If you select 'Other', please specify.
  4. Complete the Primary Practice Location details, including Street Address, City, State, and Appointment Phone. Don’t forget to provide an Office Contact Person's information.
  5. In Section 2: Practitioner Registration, fill out the details for each practitioner associated with your practice. Include their Last Name, First Name, Individual NPI #, and other required credentials.
  6. Review all sections for accuracy and completeness. Mark any non-applicable sections with 'N/A' to avoid delays in processing.

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2017 4.8 Satisfied (96 Votes)
2013 4 Satisfied (42 Votes)
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Our Kauai-born founder, Arnold Baptiste, Sr., established HMAA in 1989 with a vision to offer health insurance alternatives for businesses in Hawaii. That vision is still honored as we help our clients with cost savings and serve our members with personalized care.
Physicians know all too well about the headaches and heartaches associated with prior authorization (PA) in medicine today.
HWMG administers health plans for self-funded and fully insured clients including Hawaii Medical Assurance Association (HMAA), and provides their members with network access.
HWMG uses Smart Data Solutions as its EDI clearinghouse. Electronic claims will be routed through Smart Data Solutions (SDS) under payor ID 48330.
HMAA is proud to be the exclusive PPO Association Health Plan offering for multiple industry associations in Hawaii.

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HMAA accepts claims electronically through our partnership with Smart Data Solutions. Smart Data Solutions (Payor ID 48330) is HMAAs EDI clearinghouse for electronic claims.

hwmg medical form