Also covers: HMSA, BCBS of Hawaii, Hawaii Blue Cross
Payer ID
12B62
12B62 is the commonly listed clearinghouse payer ID for HMSA. Confirm professional vs institutional and Akamai Advantage (Medicare) routing.
Timely Filing Limit (TFL)
Reimbursement requests within one year (365 days) from the last date services were received
Appeal Window
Submit claim reconsideration/appeals per HMSA provider guidelines (prc.hmsa.com)
Clearinghouse
Supports EDI via clearinghouses (e.g. Availity/Optum)
Provider Services
800-776-4672
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
HMSA, Claims Administration 4/AS, PO Box 860, Honolulu, HI 96808-0860
Provider Portal
https://hmsa.com/portal/provider/
HMSA is the BCBS licensee for Hawaii. General/provider line 808-948-6079 or 800-776-4672.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
Aethera's AR team works Hawaii Medical Service Association every day — payer rules, appeals, and clean-claim submission, handled.
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