Coverage profile
How Substrate can help you with HMSA
Substrate can help practices and billers with the following claims tasks for HMSA.
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.
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 | HMSA |
|---|---|
| Operating states | CA, HI, NV |
| 837P professional claims payer IDStedi | 100937Enrollment required |
| 837I institutional claims payer IDStedi | 100937Enrollment required |
| 835 ERA payer IDStedi | 100937Enrollment required |
| 270 eligibility payer IDStedi | 100937 |
| 270 eligibility payer IDAvaility | 100937 |
| 276 claim status payer IDStedi | 100937 |
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
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)
