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Blue Cross and Blue Shield of Hawaii (HMSA)

Hawaii • 22 prefixes

Also known as: HMSA, Hawaii Medical Service Association

Billing reference

Provider phone: (808) 948-6281
Verified Aug 2026 · source
1 exception — check before you submit
Depends on the plan type
(855) 874-8511 — QUEST Integration (Medicaid) Members - Provider Services
Electronic payer ID: HMSA1
Verified Aug 2026 · source
3 exceptions — check before you submit
Depends on the plan type
80024 — Federal Employee Program (FEP)
Depends on the claim type
SB971 — Standard professional and institutional 837 claims
Depends how you submit
12B62 — Alternative clearinghouse ID
Claims mailing address: P.O. Box 860 Honolulu, HI 96808-0860
Verified Aug 2026 · source
4 exceptions — check before you submit
Depends on the plan type
P.O. Box 2970, Honolulu, HI 96802 — BlueCard out-of-state members
P.O. Box 69436, Harrisburg, PA 17106-9436 — Federal Employee Program (FEP) paper claims
P.O. Box 3520, Honolulu, HI 96811-3520 — QUEST Integration (Medicaid)
Depends on the claim type
P.O. Box 32700, Honolulu, HI 96803-2700 — UB-04 facility claims
Timely filing limit: 365 daysCompare all plans
Verified Aug 2026 · source
Prior authorization phone: (800) 966-6198
Provider website: https://hmsa.com

Billing Blue Cross and Blue Shield of Hawaii (HMSA) from outside Hawaii?

Usually you do not send the claim to Blue Cross and Blue Shield of Hawaii (HMSA). Under the BlueCard program, a provider treating a member from another Blue plan submits the claim to their own local Blue Cross Blue Shield plan, which then routes it to Blue Cross and Blue Shield of Hawaii (HMSA) for processing.

The payer ID and claims address above are for filing within Hawaii. Filing from elsewhere, use your local plan's details instead.
Prior authorizationis generally handled by the member's home plan — so Blue Cross and Blue Shield of Hawaii (HMSA), wherever you are.
Your timely filing limit is set by your own contract with your local Blue plan, not by the figure above. 365 days is customary but contracts vary.
To check eligibility and benefits for an out-of-area Blue member, call 1-800-676-BLUE (1-800-676-2583).

Arrangements vary by contract, and self-funded (ASO) accounts can differ — confirm with your local Blue plan before filing. See the BlueCard Program Provider Manual for the full rules.