- How do I add a physician to our practice?
- Can I receive my reimbursements with automatic deposit?
- How do I change my billing address?
- How often is the provider/physician fee schedule revised?
- How do I report a change in company name and/or Federal Tax ID number?
- My current Provider Identification Number (PIN) is my social security number. Can that be changed?
- What is the patient co-pay for a physician office visit?
- Am I able to check claim status or claim payments online?
- Are EDI claims submissions accepted?
- What is the procedure for submitting a claim, where Medicare is primary and UHA is secondary?
Q. How do I add a physician to our practice?
A. Complete an Existing Provider Change form and submit copies of the new physicians' Hawaii State and Federal DEA licenses (if applicable). Please include the master vendor's TIN (Tax ID Number) and NPI (National Provider Identifier) number(s).
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Q. Can I receive my reimbursements with automatic deposit?
A. Yes. See the section on Electronic Funds Transfer (EFT).
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Q. How do I change my billing address?
A. Complete the Existing Provider Change form to report changes in billing address. You may also send us a written request indicating the billing address change and effective date.
Requests can be mailed or faxed to:
UHA Provider Services
700 Bishop Street, Suite 300
Honolulu, HI 96813-4100
Toll free fax: (866) 572-4383
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Q. How often is the provider/physician fee schedule revised?
A. The provider/physician fee schedule is updated every two years, based on the prior year Medicare rates.
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Q. How do I report a change in company name and/or Federal Tax ID number?
A. Complete the Existing Provider Change form to report changes in company name and/or Federal Tax ID number, along with an updated W-9 form. If both have changed, please contact Provider Services as you may have to sign a new Provider Agreement.
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Q. My current Provider Identification Number (PIN) is my social security number. Can that be changed?
A. Yes. Send a request in writing and we will send you a new unique PIN number. Submit your request to:
UHA Provider Services
700 Bishop Street, Suite 300
Honolulu, HI 96813-4100
Or Toll free fax: (866) 572-4383
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Q. What is the patient co-pay for a physician office visit?
A. The patient co-pay for a physician office visit is listed on the member ID card. Currently the co-payments are:
| UHA 3000 | $12* |
| UHA 600 | 10% of the eligible charge * |
* Tax on the physician office visit charge is not a covered benefit. The provider is responsible for calculating the tax portion based on the eligible charge. Co-payment amounts are subject to change without notice.
1 Insurance card should indicate if the co-payment is $12.
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Q. Am I able to check claim status or claim payments online?
A. Online Claim status is now offered via Online Provider Services. For more information contact Provider Services at (808) 522-2268, or toll free at 1-800-458-4600, extension 302, from the Neighbor Islands.
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Q. Are EDI claims submissions accepted?
A. Yes. There are two ways to submit EDI claim submissions. A connection can be made directly to UHA as an 837 transaction or through the Post-n-TrackTM online service. Click here to read more about each submission method.
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Q. What is the procedure for submitting a claim, where Medicare is primary and UHA is secondary?
A. Submit the Medicare Explanation of Benefit along with the claim form to UHA.
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