Aloha! We encourage you to share this information with others in your practice. If you have any questions or need assistance, please refer to our Administrative Manual for Participating Providers or feel free to contact us.

Eligibility Verification through IVR

In addition to our online service, providers may verify our members' eligibility 24/7 by calling our Integrated Voice Response (IVR) system toll-free at (866) 791-7628. This phone number is listed on HMAA and other client member ID cards as a resource for checking eligibility.



The caller will need to enter your provider tax ID number (TIN), the ID number located on your patient's insurance card, and the patient's date of birth. 

You may enter your fax number to request a summary of information by fax. To avoid a potential HIPAA privacy breach and ensure timely receipt, be sure to enter the correct fax number. Within minutes, you should receive a faxed document summarizing:

• Member eligibility
• Claim status
• Deductibles
• Out-of-pocket maximums
• Remaining balances

Members will not be responsible for copayments, coinsurance, or deductibles related to vaccines or medically necessary COVID-19 testing until the Public Health Emergency ends on July 16, 2022, unless DHHS declares otherwise.

COVID-19 treatment is covered at 100% for HMAA members. For our other clients, coverage is based on the Plan’s inforce schedule of benefits.

Credentialing/Recredentialing Tips

HWMG understands that the credentialing process can be challenging. Here are tips to help get your practice credentialed or recredentialed timely.

• When you receive a credentialing request from HWMG or our vendor CAQH, please be sure to respond promptly to ensure your credentialing evidence does not expire. A Credentialing Application (or Recredentialing Verification Form) and Attestation should be signed within the 180 days before your credentialing due date.

• If you renew your liability insurance, board certification status, or CSC/DEA certificate, please submit the supporting documents timely to prevent delays in the verification and review process.

Updates to Practitioner or Practice Info

If any information has changed, please submit a Provider Add, Delete or Change Form.