HMSA

Summary

HMSA is a regional health plan, part of Hawaii Medical Service Association, offering dental, medical, and vision coverage operating in Hawaii. Claims route under payer ID 100937, with 5 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through HMSA Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID

100937Also seen as 10530, 12B62, HIBLS, HMSA1, SB971

Also known as

BC HAWAII, BCBS Hawaii, BCBSHI, Blue Cross Blue Shield of Hawaii, HMSA - Medicare Advantage

Uses CAQH

YesApplication route: CAQH application only

Service area

HI

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for HMSA?

The payer ID for HMSA is 100937. Alternate IDs seen across clearinghouses include 10530, 12B62, HIBLS, HMSA1.

How long does HMSA provider enrollment take?

HMSA provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does HMSA require CAQH?

Yes. HMSA uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does HMSA require ERA enrollment?

Yes. HMSA requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.

What states does HMSA cover?

HMSA operates in HI. Coverage can differ by plan and product line, so confirm the specific plan before you file.