Blue Cross Blue Shield

How to Get Credentialed with Hawaii Medical Service Association in Hawaii

Network: Open
60-120 Days

Quick Overview

Timeline

60 - 120 days

CAQH

Not Required

Re-credentialing

Every 3 year(s)

Delegated

No

Hawaii-Specific Requirements

Hawaii Medical Service Association (HMSA), the BCBS licensee for Hawaii. May not use CAQH ProView; HMSA uses Verisys for primary source verification. Providers should apply directly through HMSA's provider enrollment portal. Typical processing timeline: 60-90 days. Requires active Hawaii medical license from the Hawaii Medical Board. DEA registration required. Board certification required for specialists. Hawaii's Prepaid Health Care Act creates unique insurance requirements in the state. Delegated credentialing available through select groups. HMSA covers approximately 50% of Hawaii residents. Re-credentialing every 3 years.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Hawaii.

2

Prepare Your Application

Complete Hawaii Medical Service Association's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Hawaii Medical Service Association.

4

Track & Follow Up

Credentialing typically takes 60-120 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum; gaps > 6 months must be explained

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

3 peer references required

Contact Information

Credentialing

National

(866) 939-6013

Quick Links

Hawaii Medical Service Association Website Provider Portal

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Other Payers in Hawaii

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Kaiser Permanente Hawaii Med-QUEST UnitedHealthcare Community Plan
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