Payer Contacts, IDs & Links
Hawaii Provider Portal Directory
Find Hawaii Medicaid and commercial payer portals, provider contacts, claims resources, and electronic submission details—all in one place. Quickly access the payer information your team uses most.
Hawaii Payer Resources
Hawaii Billing and Portal Access
Hawaii billing workflows often involve moving between Med-QUEST provider resources, DHS Medicaid Online tools, HOKU provider enrollment, QUEST Integration managed care plan portals, and commercial payer websites. Tasks like eligibility verification, claim status checks, remittance review, prior authorization research, and electronic claim setup are often handled across different systems depending on the payer.
Most Hawaii practices work across a mix of Med-QUEST, fee-for-service Medicaid situations, QUEST Integration managed care organizations, long-term services and supports, and commercial insurers. Consistent access to those payer resources is part of maintaining steady billing operations and avoiding unnecessary delays during follow-up.
Claims Resources
Quick access to official claims and payment pages for common Hawaii payers.
Provider Portals
Find the right login path for eligibility, claim status, remits, and account tools.
Key Contacts
Reference important provider phone numbers without digging through multiple sites.
EDI Notes
See available payer ID guidance and where your team should confirm setup details.
Hawaii Directory
Hawaii Payer Contacts, Portals, and Billing Notes
Use this table to access commonly used Hawaii payer portals, provider contacts, and claims resources. For claim-specific questions or submission requirements, confirm details directly with the payer.
| Payer | Plan Type | Portal / Claims Resource | Main Provider Contact | EDI / Payer ID Note |
|---|---|---|---|---|
| Hawaii Med-QUEST | Medicaid administrative and provider resource system | Med-QUEST Provider Resources | Use Med-QUEST and DHS Medicaid Online contact paths for provider support | Use Med-QUEST provider resources for DHS Medicaid Online user manuals, claims guidance, eligibility/enrollment tools, prior authorization quick reference, and companion guide materials |
| DHS Medicaid Online | Claims, eligibility, enrollment, and Medicaid system access | DHS Medicaid Online | Eligibility / enrollment inquiries: 808-524-3370 | Online access is used for Medicaid administration, including managed care, fee-for-service, and home and community-based waiver workflows |
| HOKU Provider Enrollment | Provider enrollment and provider record updates | HOKU provider enrollment resources | Provider registration questions: 808-692-8099 | Use HOKU to enroll, update, and make changes to Hawaii Medicaid provider information online |
| AlohaCare | QUEST Integration Medicaid managed care and Medicare resources | AlohaCare provider resources | Provider resources page | Confirm QUEST Integration claim routing, authorization requirements, and plan-specific workflows before submission |
| HMSA QUEST Integration | QUEST Integration Medicaid managed care and commercial resources | HMSA Provider Resource Center | QUEST Integration Provider Service: 808-948-6486 or 800-440-0640 | Use HMSA Provider Resource Center for QUEST Integration library, claims and billing, provider tools, prior authorization, and provider training resources |
| Kaiser Permanente Hawaii QUEST | QUEST Integration Medicaid managed care and commercial resources | Kaiser Permanente QUEST Hawaii | Use Kaiser Permanente Hawaii provider resources and plan-specific contact paths | Kaiser participates in QUEST for eligible members in service areas such as Oahu and Maui; confirm routing by plan and location |
| ‘Ohana Health Plan | QUEST Integration Medicaid managed care | ‘Ohana Health Plan provider resources | Use provider resources and plan-specific contact paths | Confirm claim submission, authorization, and portal requirements by product before billing |
| UnitedHealthcare Community Plan Hawaii | QUEST Integration Medicaid managed care, commercial, and Medicare resources vary by plan | UnitedHealthcare provider portal | Claims and payments page | Verify payer ID by claim type, product, and clearinghouse configuration |
| Aetna | Commercial and Medicare Advantage varies by plan | Aetna on Availity | Use Availity for claims, eligibility, authorizations, and referrals | Verify payer ID by product and clearinghouse |
| Cigna Healthcare | Commercial | Submit claims and portal tools | Cigna for Health Care Professionals portal | Medical payer ID listed as 62308 |
Workflow Guidance
How To Use This Directory Effectively
This directory works best as an operational reference that staff can return to during daily billing work. It can help standardize where payer information is accessed and reduce time spent searching across separate websites.
Best practices
- Bookmark this page for billers, practice managers, and front-office staff.
- Verify payer IDs before first submission or when changing clearinghouses.
- Refresh this page regularly to keep phone numbers, portal links, and claims notes current.
Hawaii Medicaid
Med-QUEST and DHS Medicaid Online
Med-QUEST provider resources and DHS Medicaid Online are two of the most important access points for Hawaii billing teams. They support core functions such as claims workflows, eligibility and enrollment lookup, prior authorization reference materials, claim form guidance, companion guide materials, and online Medicaid system access.
For many Hawaii practices, this is the first stop for Medicaid administrative activity, while QUEST Integration providers should also reference the member’s assigned health plan for plan-specific billing, authorization, and claims rules.
Hawaii Medicaid Managed Care
AlohaCare, HMSA, Kaiser, ‘Ohana, and UnitedHealthcare
Hawaii practices often work across multiple QUEST Integration health plans, which means staff need fast access to different claim tools, provider contacts, prior authorization pathways, and long-term services and supports workflows. Keeping those links organized can reduce follow-up delays and cut down on submission errors.
These plans are often central to day-to-day billing activity across QUEST Integration, managed care, fee-for-service exceptions, and Home and Community Based Waiver-related workflows.
Recommended priorities on the Hawaii page:Payer-by-Payer Resource Hub
Hawaii Payer Notes
Commercial Payer Access
HMSA, Kaiser Permanente, UnitedHealthcare, Aetna and Cigna Provider Tools
Hawaii billing teams also need easy access to commercial payer workflows. HMSA offers Hawaii-focused provider tools and claims resources, Kaiser Permanente operates integrated Hawaii provider workflows, UnitedHealthcare centralizes portal and claims tools through UHCprovider.com, Aetna uses Availity for provider self-service, and Cigna offers claims resources through its provider portal and claim submission pages.
Including commercial payer links alongside Med-QUEST and QUEST Integration resources creates a more complete reference point for practices working across multiple plan types.
Helpful use cases
- Eligibility verification for scheduled visits and follow-up care
- Claim status review when payments are delayed or unclear
- Authorization research before high-cost or specialty services
Frequently Asked Questions
Is this page meant to replace payer websites?
No. This page is designed as a fast-access resource hub. Staff should still verify submission requirements, portal instructions, and payer IDs on the official payer site before acting.
Why not list every payer ID on the page?
Some payer IDs vary by claim type, product line, clearinghouse, or transaction. Listing only verified information and prompting users to confirm setup helps reduce avoidable submission errors.
Who should use this Hawaii payer directory?
This page is useful for independent practices, physician groups, hospitals, billing companies, credentialing teams, and revenue cycle staff handling Hawaii claims.