What is the Stedi payer ID for HMSA?

The Stedi payer ID for HMSA is WKDLP.

What is the primary payer ID for HMSA?

The primary payer ID for HMSA is 100937.

What payer IDs does HMSA use?

In addition to its primary payer ID 100937, HMSA uses several other payer IDs, including 100937, 10530, 12B62, HIBLS, HMSA1, and SB971.

What transactions does HMSA support?

HMSA supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837D dental claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), and 276/277 real-time claim status.

What transaction types require transaction enrollment with HMSA?

HMSA requires transaction enrollment for 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. HMSA supports COB checks through Stedi.

What other names does HMSA go by?

HMSA is also known as BC HAWAII, BCBS Hawaii, BCBSHI, Blue Cross Blue Shield of Hawaii, and Hawaii Medical Service Association.

All payers

PAYER

HMSA

This page contains information you can use to exchange healthcare transactions with HMSA using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to HMSA using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with HMSA using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to HMSA.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to HMSA to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to HMSA in real-time by sending a claim status check (276/277).

Supported, enrollment required

Professional claims

(837P)

Submit professional claims to HMSA and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Institutional claims

(837I)

Submit institutional claims to HMSA and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from HMSA to review full payment details.

Enrollment process type

One-click

Activation timeframe

Days

Supported

Dental claims

(837D)

Submit dental claims to HMSA and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to HMSA.

Get started

Use Stedi's APIs to get fast and reliable connectivity to HMSA and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and HMSA today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

BC HAWAII
BCBS Hawaii
BCBSHI
Blue Cross Blue Shield of Hawaii
Hawaii Medical Service Association

Payer Network

All payers

PAYER

HMSA

This page contains information you can use to exchange healthcare transactions with HMSA using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to HMSA using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with HMSA using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to HMSA.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to HMSA to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to HMSA in real-time by sending a claim status check (276/277).

Supported, enrollment required

Professional claims

(837P)

Submit professional claims to HMSA and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Institutional claims

(837I)

Submit institutional claims to HMSA and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from HMSA to review full payment details.

Enrollment process type

One-click

Activation timeframe

Days

Supported

Dental claims

(837D)

Submit dental claims to HMSA and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to HMSA.

Get started

Use Stedi's APIs to get fast and reliable connectivity to HMSA and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and HMSA today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

BC HAWAII
BCBS Hawaii
BCBSHI
Blue Cross Blue Shield of Hawaii
Hawaii Medical Service Association