XLE

BCBS Prefix XLE

Blue Cross and Blue Shield of Hawaii (HMSA)

Hawaii • PPO, High-Deductible Health Plan (HDHP), Medicaid

Billing essentials

Provider phone
(800) 966-6198
Electronic payer ID
HMSA1
Claims mailing address
P.O. Box 860 Honolulu, HI 96808-0860
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 966-6198
Provider website
https://hmsa.com

Coverage under prefix XLE

PPO

Under this PPO prefix, members are covered for both in-network and out-of-network care. The plan pays a higher percentage of allowed charges when members use participating providers. No gatekeeper or primary care referral is required. Verify the member's specific benefits for cost-sharing details.

HDHP

Under this HDHP prefix, the member's plan has a higher deductible than traditional coverage. This affects patient cost-sharing but does not change how claims are submitted or processed. Use the same payer ID, claims address, and filing procedures listed above. Verify the member's remaining deductible before estimating patient responsibility.

Medicaid

Medicaid coverage under this prefix means the member's Medicaid benefits are administered by a BCBS managed care plan. Medicaid managed care claims may have different submission requirements, payer IDs, and timely filing deadlines than commercial claims. Verify the specific Medicaid plan details with the payer.

About Blue Cross and Blue Shield of Hawaii (HMSA)

Independent licensee of the Blue Cross Blue Shield Association serving Hawaii members with commercial, Medicare and Medicaid plans.