Quick Links
- Appeals Unit
- Blue Cross and Blue Shield of Hawaii BlueCard Department
- Case Management/Care Coordination/Managed Care Services
- Department of Human Services Hotline (for QUEST Integration related inquiries)
- EDI Support Center
- Eligibility (Member Verification Line)
- Federal Employee Program (FEP) of Blue Cross and Blue Shield of Hawaii
- Hawaii Healthcare Information Network (HHIN+)
- HMSA’s Behavioral Health Services – Commercial, FED 87, HMSA Plan for Postal Service Employees, Medicare Advantage, and Federal Employee Programs (Federal Employees Health Benefits (FEHB) and Postal Service Health Benefits (PSHB)) (Magellan Hawaiʻi)
- HMSA Behavioral Health Services – QUEST Integration (Magellan Hawaiʻi)
- HMSA’s Online Care®
- Operating Engineers Local 3 – Addictions Recovery Program
- Pharmacy
- Precertification Unit
- Privacy Office
- Provider Correspondence
- Provider Data Administration
- Provider Services (Automated Answering System)
- Provider Services for the HMSA Plan for QUEST Integration Members
Appeals Unit |
|---|
|
For Private Business: Phone
Fax
HMSA Member Advocacy and Appeals P.O. Box 1958 Honolulu, HI 96805-1958 Email: For QUEST Integration appeals: Phone
Fax
HMSA QUEST Integration Member Advocacy and Appeals P.O. Box 1958 Honolulu, HI 96805-1958 Email: |
Blue Cross and Blue Shield of Hawaii BlueCard Department |
|---|
|
General Phone
Fax
To check eligibility for BlueCard members: Phone
|
Case Management/Care Coordination/Managed Care Services |
|---|
|
Program Intake Phone
Available Monday to Friday, 8 a.m. to 5 p.m. After-hours calls are received by a voice mail system and answered the following business day. Fax
|
Department of Human Services Hotline (for QUEST Integration-related inquiries) |
|---|
|
Phone
|
EDI Support Center |
|---|
|
Phone
Fax
|
Eligibility (Membership Verification Line) |
|---|
|
Phone
Member ID number required. For instructions, see Membership Verification Line.
|
Federal Employee Program (FEP) of Blue Cross and Blue Shield of Hawaii |
|---|
|
General Phone
Fax
HMSA – FEP P.O. Box 1346 Honolulu, HI 96807-1346 Dental (Effective 7/1/2022): Phone Monday – Friday 8 a.m.-4 p.m. Oahu – 808-948-6281 Toll Free – 1-800-966-6198 toll-free Paper Claims: HI FEP Claims P.O. Box 69436 Harrisburg, PA 17106-9436 Electronic Claim Submission: Payor ID: HMSA1 or Speed eClaim process Resubmission Claims and Correspondence: HI FEP Claims P.O. Box 69437 Harrisburg, PA 17106-9437 Retail Pharmacy – Provider Service (for pre-authorization for select prescription drugs): Phone
Retail Pharmacy – Customer Service (for pre-authorization for select prescription drugs): Phone
|
Hawaii Healthcare Information Network (HHIN+) |
|---|
|
For new user registration and setup: Phone
HHIN+ Help Desk (for technical support): Phone
|
HMSA’s Behavioral Health Services – Commercial, FED 87, HMSA Plan for Postal Service Employees, Medicare Advantage, and Federal Employee Programs (Federal Employees Health Benefits (FEHB) and Postal Service Health Benefits (PSHB)) (Magellan Hawaiʻi) |
|---|
|
For questions regarding:
Phone
Available Monday to Friday 7:45 am to 4:30 pm. After hours on-call assistance available. Fax
Magellan Hawaiʻi P.O. Box 710490 San Diego, CA 92171 For questions regarding Behavioral Health Case Management, see Case Management/Care Coordination/Managed Care Services. |
HMSA’s Behavioral Health Services – QUEST Integration (Magellan Hawaiʻi) |
|---|
|
For questions regarding:
Phone
Available Monday to Friday, 7:45 am to 4:30 pm. After-hours on-call assistance available. Fax
Magellan Hawaiʻi P.O. Box 710490 San Diego, CA 92171 For questions regarding Behavioral Health Case Management, see Case Management/Care Coordination/Managed Care Services. |
HMSA’s Online Care |
|---|
|
Phone
Available seven days a week, 24 hours a day, except for brief maintenance work scheduled during low-usage periods. |
Operating Engineers Local 3 – Addictions Recovery Program |
|---|
|
Phone
Fax
|
Pharmacy |
|---|
|
Fax
Sr. Benefit Delivery Specialist HMSA – Pharmacy Management P.O. Box 860 Honolulu, HI 96808-0860 |
Precertification Unit |
|---|
|
General Phone
Available Monday to Friday, 8 a.m. to 4 p.m. Hawaii Standard Time. After-hours calls are received by a voice mail system and answered the following business day. Fax
For questions about the utilization management process: HMSA – Medical Management Department P.O. Box 2001 Honolulu, HI 96805-2001 |
Privacy Office |
|---|
|
HMSA – Privacy Office Privacy Official, 8th Floor P.O. Box 860 Honolulu, HI 96808-0860 |
Provider Correspondence |
|---|
|
Phone
Fax
HMSA – Provider Operations ATTN: Research and Correspondence P.O. Box 860 Honolulu, HI 96808-0860 |
Provider Data Administration |
|---|
|
For registration, provider number assignment, questions regarding eligible fees, and address changes. Phone
HMSA Provider Data Administration P.O. Box 860 Honolulu, HI 96808-0860 Email: provider_data@hmsa.com |
Provider Services (Automated Answering System) |
|---|
|
Phone
Fax
|
Provider Services for The HMSA Plan for QUEST Integration Members |
|---|
|
General Phone
Available seven days a week, 24 hours a day. HMSA – QUEST Integration Operations P.O. Box 3520 Honolulu, HI 96811-3520 Benefit precertification for managed care program services: Fax
For providers or members who need immediate assistance after hours for urgent or emergent cases requiring transportation arrangements, eligibility verification, or help finding a participating provider: Phone
|
Can’t find what you are looking for or have general PRC questions? email us at PRC@hmsa.com.
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform.
|