Coverage profile
Work HMSA across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with HMSA.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with HMSA.
Other aliases
Also known as
- 100937
- 10530
- 12B62
- HIBLS
- HMSA1
- SB971
- BC HAWAII
- BCBS Hawaii
- BCBSHI
- Blue Cross Blue Shield of Hawaii
- HMSA - Medicare Advantage
- Hawaii Medical Service Association
- HAWAII MEDICAL SERVICES ASSOCIATION (HMSA)
- BCBS HAWAII (HMSA)
BlueCard home-plan routing
BCBS prefixes for HMSA
These 21 member ID prefixes resolve to HMSA as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
Frequently asked questions
HMSA payer FAQs
How do I check claim status with HMSA?
Providers check HMSA via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for HMSA?
The primary payer ID for HMSA is 100937. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for HMSA?
The 837P and 837I payer ID for HMSA is 100937 via Stedi.
What is the 835 payer ID for HMSA?
The 835 payer ID for HMSA is 100937 via Stedi.
What is the 270 payer ID for HMSA?
The 270 payer IDs for HMSA are 100937 via Stedi and 100937 via Availity.
What is the 276 payer ID for HMSA?
The 276 payer ID for HMSA is 100937 via Stedi.
What states does HMSA operate in?
HMSA operates in CA, HI, and NV.
Routing reference
HMSA payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | HMSASource: Substrate payer directory · data last changed |
|---|---|
| Operating states | CA, HI, NVSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 100937Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 100937Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 100937Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 100937Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 100937Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 100937Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: HMSA. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched records: BCBS HAWAII, HAWAII MEDICAL SERVICES ASSOCIATION (HMSA). Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: HMSA. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
HMSA phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Payer phone
- (808) 948-6355HMSA
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(808) 948-6355 |
|
Phone and fax numbers sourced directly from the payer response