The Membership Verification Line allows you extended access hours to confirm HMSA membership and coverage quickly and easily 24 hours a day, seven days a week. All you need is a phone, your HMSA provider number or your National Provider Identifier (NPI), your patient's HMSA member ID number and your patient's birth month, day and year. Follow these simple instructions:
1. Call 948-6244 on Oahu or 1 (800) 552-8507 from the Neighbor Islands.
2. The system will ask if you have a 10 digit NPI number.
You can use either a Type 1 (individual) or Type 2 (group) NPI.
- If you say "Yes" you will be prompted to say your NPI number.
- The system will repeat your entry for confirmation.
- If you say "No" you will be prompted to say your HMSA provider number.
- The system will repeat your entry for confirmation.
3. You will be asked to say your patient's subscriber ID number
- First, delete the first three alphabetic characters (e.g., XLA, XLP) and the leading zeros from the member ID number.
- The system will repeat your entry for confirmation.
- Example: For member ID number XLAR000012345678, you will say "R12345678".
4. Say your patient's birth date.
- The system will repeat your entry for confirmation.
- Example: You may say 1/1/1990 or January First Nineteen Ninety.
5. The system will say the patient's name.
- Press 1 if it is correct.
- Press 2 if it is not correct.
6. Select the appropriate type of coverage:
- 1 for Medical
- 2 for Drug
- 3 for Vision
- 4 for Dental
- 5 for Chiropractic
7. Listen for the coverage verification message. If your patient is active, you will hear the following information:
- HMO members: Coverage code, health center, and earliest continuous effective date.
- PPO members: Coverage code and earliest continuous effective date.
- If your patient's coverage ended within the last year, the system will provide the cancellation date.
- If your patient's coverage ended more than a year ago the system will say the member does not have this type of coverage.
- If your patient does not have a specific type of coverage (e.g. Dental) the system will provide this information.
- If your patient is enrolled under a COBRA account, the system will provide this information.
8. Finally, enter:
- 1 to inquire about another type of coverage (e.q. drug, vision) for the same member.
- 2 to verify coverage for a different member.
- 9 to end your call.
9. If the system cannot understand your response after three attempts, you will automatically be transferred to Customer Relations.
