Claims & Billing
Explore claims and billing resources, including filing requirements, payment guidelines, and coverage information.
Hard Copy Drug Claims Submission
Submit hard copy drug claims to HMSA with clear instructions, required fields, and documentation guidelines to ensure accurate and timely processing.
Hearing Aids - Non ACA Plans
Learn about HMSA hearing aid coverage for non‑ACA plans, including eligibility, benefit limits, costs, and non‑covered services for members.
High Dollar Claims Reviews by Equian, LLC
Learn about high-dollar claim reviews by Equian LLC, including audit processes, recovery efforts, and guidelines for accurate reimbursement.
Home Intravenous (IV) Hydration Therapy for Adults – Administrative Information
Guidelines for home IV hydration therapy administrative information, including documentation requirements, billing codes, and claims submission guidelines.
Hospice Care - Billing Tips
Tips for billing hospice care services, including UB-04 claim requirements, correct revenue code usage, documentation guidelines, and required certification for initial claims to ensure accurate HMSA reimbursement.
Immunization Administration Billed with Other Services
Review HMSA billing guidelines for immunization administration when billed with other services, including coding requirements and claims submission rules.
Immunizations
Guidelines for immunizations, including coverage based on ACIP recommendations, vaccine information, and related billing guidance.
Immunizations – Medicare Advantage Billing Guidelines
Learn about Medicare Advantage immunization billing guidelines, including coding requirements, claim submission procedures, and reimbursement policies.
Injections and Intravenous Infusion Billed with Other Services
Review HMSA billing guidelines for injections and intravenous infusion services billed with other procedures, including coding and claim submission requirements.
Intravenous Therapy - General and Billing Information
Guidelines for billing outpatient intravenous (IV) therapy, including required codes, documentation, and claim submission practices to ensure accurate processing and minimize delays.