Healthcare Management Administrators (HMA) offers a comprehensive Provider Portal designed to streamline healthcare administrative processes. This digital platform provides healthcare providers with efficient tools to manage claims, authorizations, and critical healthcare information seamlessly.
Official Links
- Main Website: https://www.accesshma.com/
- Provider Portal: https://www.accesshma.com/for-providers
What Providers Can Do in the Portal
Electronic Data Interchange (EDI) Transactions
HMA’s Provider Portal supports multiple critical EDI transactions, including:
- 270/271: Eligibility inquiry and response
- 276/277: Claim status and response
- 278: Referral certification and authorization
- 834: Enrollment
- 835: Payment and remittance advice
- 837: Claims and encounters (Professional, Dental, and Institutional)
Claims Management
Providers can:
- Submit electronic claims through Availity clearinghouse
- Use payer ID HMA01
- Track claim status
- View Explanation of Payment (EOP)
Preauthorization Requests
The portal enables providers to:
- Submit preauthorization requests online
- Track authorization status
- Verify service requirements
Accessing the Provider Portal
Credentialing and Onboarding
Providers can:
- Track credentialing status
- Monitor contracting progress
- Complete EFT enrollment
- Use the Onboarding Tracker on Availity Essentials: Payer Spaces
Login Process
- Navigate to the Provider Portal
- Enter login credentials
- If not registered, use the “Not Registered” link to create an account
Key Features
Explanation of Payment (EOP)
- Access EOPs through the portal
- Search claims by member ID or claim number
- View original EOP documentation
Provider Network
HMA boasts the largest healthcare provider network in the Pacific Northwest, offering extensive coverage and accessibility.
Privacy and Security
- Secure online portal
- Compliant with healthcare data protection standards
- Encrypted communication channels
Customer Support
Contact Information
- Phone: 1-800-869-7093
- Hours: Monday-Friday, 5:00 AM – 6:00 PM PT
- Email for EDI questions: [email protected]
Supported Locations
- Pacific Northwest
- Michigan
Important Considerations
- Claims using ICD-9 codes will be rejected
- Providers must use ICD-10 codes
- Detailed service descriptions recommended for benefit verification
Unprovided Information
The following details were not explicitly mentioned in the source documents:
- Mobile app availability
- Specific security protocols
- Detailed login process screenshots
HMA’s Provider Portal represents a robust, user-friendly platform designed to simplify healthcare administration, enhance communication, and support efficient claim management for healthcare professionals.
© 2025 Healthcare Management Administrators, Inc.
FAQ
What are HMA insurance providers?A: Healthcare Management Administrators, Inc. (HMA) is a leading third-party administrator (TPA) of benefits for self-funded health plans, expertly serving employers for nearly 40 years. Learn more about HMA on their website.
What is HMA in medical insurance?The Health Matching Account (HMA®) is a medical reimbursement program designed exclusively to pay for most of your and your family’s out-of-pocket, medical expenses including your dental and vision needs and other eligible services.
What does HMA stand for in healthcare?
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How do I contact HMA insurance?Contact Us | (714) 937-1500 | HMA Insurance.
https://www.accesshma.com/for-providers
Welcome to HMA’s provider portal, the starting point for providers to gain access to information about claims as well as additional information.
https://www.accesshma.com/
Everything all in one place with HMA. Create your member portal account to easily manage your healthcare benefits. Access your member ID card or find in-network