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HMSA Online Care (Online Care)

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HMSA Online Care (Online Care)

Alerts or Latest Updates

03/02/2026: Effective May 1, 2026, the base visit length for behavioral health services on HMSA’s Online Care® will be updated from 20 minutes to 37 minutes. This change aligns with the time spent during the most commonly used Current Procedural Terminology (CPT) code for a short session. Your reimbursement rate and HMSA member benefits won’t change for the base visit or extended time. The base visit length of up to 37 minutes will be paid the base rate with an option to extend the visit up to 60 minutes. Visits between 38-60 minutes will be paid the extension rate.

 

01/01/2026: Effective April 1, 2026, HMSA will discontinue HMSA’s Online Care® platform for QUEST (Medicaid) members and QUEST providers will be encouraged to use alternative telehealth platforms. For more information, visit HMSA Online Care for QUEST Members.

 

12/05/2025: Payments for services delivered on using Online Care will now be processed through HMSA’s claims system. Below are resources to support you in this transition. If you have questions, please contact HOCClaims@hmsa.com.

 

About HMSA Online Care

Online Care provides a platform for qualified HMSA healthcare providers to connect with patients and deliver telehealth services through a secure live video portal. Online Care allows providers and health care professionals the ability to expand services and see patients virtually in a confidential platform. With Online Care, you’ll receive:

  • Simple claims processing
  • Fee-for-service payments 
  • E-prescribing

If you have questions, please email HOCInfo@hmsa.com, or call 1-866-939-6013 toll-free to speak with an Amwell® representative.

 

How to Join

    To become an Online Care provider, HMSA providers must:

    • Have a PPO contract with HMSA.
    • Have a Trading Partner Agreement to initiate electronic transactions with HMSA.
    • Be enrolled in HMSA’s HHIN+.
    • Have adequate hardware, software, and broadband access. Review the Systems Requirements Guide.
    • Be willing to agree to the Online Care provider terms of use.

    If you meet the above criteria, please email HOCInfo@hmsa.com with your name, email, provider type and primary location associated with your tax ID to receive your Online Care specific provider ID and additional enrollment information.  

     

    Getting Started with Online Care

     

    Setting your Availability and Scheduling Appointments

    To help patients have the best experience on Online Care, we highly recommend reviewing these guides to help you set your availability and schedule visits.

     

    Setting your Availability and Scheduling Appointments Training Videos

     

    Online Care Payments*

    On 10/13/2025, payments for services delivered using Online Care are now being processed through HMSA's claims systems.

    Online Care providers will receive payments in two ways:

    1. All HMSA member visits are processed through HMSA’s claims system and paid via the claims system.
    2. HMSA member copayments, visits with non-HMSA members, and coupon code payments are collected directly in the Online Care system and deposited into the provider’s bank account weekly.

    Here's a guide to help you reconcile your Online Care payments:

     

    LYRA Portal for Claims Payments

    LYRA is a secure provider portal to access claims information submitted on Online Care via Change Healthcare, Amwell's claims clearinghouse vendor.

     

    Copayments and non-member Payments

    To be paid for copayments, non-member payments, and coupon code payments, be sure to set up your direct deposit and bank account information.

     

    Provider FAQ

    Questions? Please review the FAQ guides below.

     

    Patient Information

    Help your patients enroll in Online Care by sending them to https://hmsa.com/well-being/online-care. Patients can also enroll by downloading the free mobile app.

     

    Questions?

    Email HOCinfo@hmsa.com



    Note: We will be updating this site regularly. Please check back for the most current information.




     

    Amwell® is an independent company providing hosting and software services for HMSA’s Online Care platform on behalf of HMSA.
    Coreo is a trademark of Navvis.
    Navvis is an independent company that provides Coreo™, an online tool providing a virtual integrated health system for HMSA providers on behalf of HMSA.

    Rev#:Date:Nature of Change:
    5.404/06/20261100-1677771-1809800 The following have been updated:
    Added: Online Care FAQs (updated as of 4/2/26)
    Removed: Online Care Claims Project FAQs
    5.304/01/20261100-1677771-1786150 Update to the first bullet under How to Join and content under the Online Care Payments sections.
    5.203/02/20261100-1677764-1756700 Added a note to the Alerts or Latest News section.
    5.101/08/20261100-1677750-1677950 Formatting edits. Title edit: HMSA Online Care (Online Care)
    5.001/02/20261100-1677750-1677950 Added to the Alerts/Latest Updates section. Applied copy edits. 
    4.1112/29/20251100-1205577-1678660
    Online Care Payment Reconciliation Guide (added)
    LYRA Provider Provider Portal FAQs (removed)
    Lyra User Manual - Patient Action Instructions (removed)
    How to Use Lyra Provider Portal (updated)
    Online Care Claims Project FAQs (updated)
    4.1012/16/20251100-1205577-1662650
    Changed "LYRA Provider Portal Instructions" to "LYRA Provider Portal Set Up Instructions"
    Added new PDF How to use LYRA Provider Portal 
    4.912/05/20251100-1205577-1649402 The following updates were completed:
    LYRA Provider Portal FAQs, updated 12/3/2025
    LYRA Provider Portal Instructions, added
    Online Care Claims Project FAQs, updated 12/4/2025
    4.810/31/20251100-1205563-1606254 Updated sentence under Lyra Portal for Claims Payments to: LYRA is a secure provider portal to access claims information submitted on Online Care via Change Healthcare, Amwell's claims clearinghouse vendor. 
    4.7 10/28/20251100-1205563-1597450 The following documents were updated:
    LYRA Provider Portal FAQs - updated 10/27/2025
    Lyra User Manual - Patient Inquiry Instructions - ARCHIVED
    Online Care Claims Project FAQs - updated 10/2025
    4.610/10/20251100-1205563-1566250 The following updated documents have been posted:
    Provider Enrollment Guide 
    Getting Started for Provider 
    Earnings Activity Report
    Provider FAQs
    Claims Project Update FAQs
    4.507/16/20251100-1205542-1414451 Article has been reviewed and updated. Added LYRA information.
    4.406/23/20251100-1205525-1380100 Removed videos.
    4.306/18/20251100-1205535-1377305 Online Care Claims Project FAQs (as of 6/17/25) has been posted.
    4.205/29/20251100-1205528-1350800 Edits to the HOC Provider Claims Update section.
    4.105/28/2025

    1100-1205528-1355202 Online Care Claims Project FAQs (as of 5/28/25) has been posted.

    1100-1205528-1350800 The HOC Provider Claims Update section has been added.

    4.005/22/20251100-1205528-1350800 Online Care Claims Project FAQs (as of 5/22/25) has been posted.
    3.0 (v33)01/25/2024Trademark added to the first text reference of Coreo.
    The following statements have been added: 
    Coreo is a trademark of Navvis.
    Navvis is an independent company that provides Coreo™, an online tool providing a virtual integrated health system for HMSA providers on behalf of HMSA.
    Adjusted revision history version numbering from entry 2.6 as it was incorrectly labeled as v26. Should be v25.
    2.11 (v32)12/08/2023The following document has been posted
    Online Care Provider FAQ as of 12/7/2023
    2.10 (v31)09/26/2023Reorganized content sections and added the following training videos:
    How to See Patients on Demand
    How to Schedule Appointments for Established Patients
    How to Set Your Calendar Availability
    How to Set Recurring Calendar Availability
    How to Cancel a Visit
    The following documents were added to the  Setting your Availability and Scheduling Appointment section:
    How to Schedule Appointments for your Patients
    How to Set your Calendar Availability
    How to Cancel a Visit
    2.9 (v30)09/01/2023
    The following documents have been posted:
    Earnings Activity Report (new)
    How to See Patients through an On Demand Visit (new)
    How to Decline a Visit with a Patient (new)
    How to Log Out of an On Demand Session (new)
    How to Change Practices & Identify Practices (new)
    HOC Direct Deposit & Bank Account Set Up for Multiple Practices (v2)
    HOC Direct Deposit & Bank Account Set Up for One Practice (v2)
    2.7 (v29)07/06/2023The following document has been posted
    Online Care Provider FAQ as of 7/5/2023
    2.6 (v28)05/08/2023The following link has been updated:
    Online Care Provider FAQ as of 5/9/2023
    2.5 (v27)05/04/2023Added links to the following documents:
    HOC Provider Manual Reimbursement Form
    HOC Direct Deposit & Bank Account Set Up for One Practice
    HOC Direct Deposit & Bank Account Set Up for Multiple Practices
    Removed the Member Brochure link under Patient Information and the unlinked text HMSA Online Care member Enrollment User Guide.
    2.4 (v26)07/22/2022Posted new version of HMSA Online Care FAQs, as of 07/2022.
    2.3 (v25)04/26/2022Updated HOC contact information.
    2.2 (v24)10/01/2021Posted the HMSA Online Care Provider FAQ - Discontinue Malpractice Insurance (Phase 2) October 2021.
    HMSA Online Care Malpractice Insurance Certificate has been removed.
    2.1 (v23)09/10/2021Posted the HMSA Online Care Provider FAQ - Discontinue Malpractice Insurance (Phase 2) September 2021.
    Added links to archived document folders.
    2.0 (v22)07/26/2021The following document was posted:  HMSA Online Care Provider FAQ - July 2021

     

    Rev#:Date:Nature of Change:
    0.003/19/2020First published.
    1.004/01/2020Added content information regarding technical issues and contact information.
     04/15/2020Added a link to the HMSA Online Care Provider FAQ effective 4/15/2020.
     05/15/2020Added a link to the HMSA Online Care Provider FAQ v2 effective 5/14/2020. Removed information regarding technical issues.
     07/22/2020Added a link to the HMSA Online Care Provider FAQ v3 effective 7/22/2020.
     07/30/2020Added a link to the HMSA Online Care Provider FAQ v4 effective 7/30/2020.
     11/20/2020Correct the link to the HMSA Online Care Provide FAQ. Reverted back to correct version updated as of 7/22/2020.
     12/07/2020Updated the following documents: 
    • System Requirements for Providers
    • Webside Etiquette Guide for Providers
    Removed the documents: How to see a patient and How to wrap up your visit. Documents were archived and removed from the article. Replaced with Getting Started for Providers.
     12/21/2020Added a link to the new video How to enroll in HMSA's Online Care.
     01/06/2021Updated content and link titles. Posted new version of the Online Care Provider FAQ, as of 1/6/2021.
     05/13/2021Posted new version of the Online Care Provider FAQ, as of May 2021.
     06/03/2021The current source documents have been moved to a new document repository and links have been updated. Relevant files will remain attached to this article until they are updated with a new version.
    HMSA Online Care Provider FAQ_2021-05
    HOC Getting Started for Providers_2020-12
    HMSA Online Care Webside Etiquette Guide for Providers
    HMSA Online Care System Requirements
    HMSA Online Care Member Brochure
    HMSA Online Care Malpractice Insurance Certificate
    HMSA Online Care Patient Workflow Visits
    HMSA Online Care Provider Enrollment Guide
    HMSA Online Care FAQs
    Details
    HMSA-Online-Care-HOC

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