Medical Billing Services in Hawaii

Medical Billing for Hawaii Physicians

Hawaii has a unique healthcare market shaped by the Prepaid Health Care Act, which requires employers to provide health insurance. HMSA (Hawaii Medical Service Association, the BCBS affiliate) and Kaiser Permanente Hawaii dominate the commercial market. Hawaii’s Medicaid program (Med-QUEST) covers a large share of the population through managed care. Go Medical Billing serves Hawaii practices across all islands, from Honolulu and Oahu to Maui, Kona, and Hilo.

Hawaii Billing Specifics

HMSA and Kaiser Hawaii

HMSA covers more lives than any other carrier in Hawaii. Kaiser has deep HMO penetration. We handle claims for both, including HMSA’s preferred provider and PPO products.

Med-QUEST (Medicaid)

Med-QUEST managed care plans include AlohaCare, HMSA, Kaiser, Ohana Health Plan, and UHC Community Plan. We credential and bill with every Med-QUEST plan.

Our Services

• Medical billing and coding with AAPC certified coders
• Credentialing and payer enrollment for Medicaid, Medicare, and commercial plans
• Accounts receivable recovery for aging and denied claims
• Prior authorization management including Medicaid MCO requirements
• Patient billing with clear statements and professional follow up
• Eligibility verification before every appointment

Pricing

Starting at 2.49% of net collections. Hawaii’s cost of living makes in house billing extremely expensive. Our rate offers significant savings.

Call 888 701 6090 for a free Hawaii billing assessment.