Healthcare Management Administrators (HMA): Secure Provider Portal Access for Healthcare Professionals

hma

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

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

  1. Navigate to the Provider Portal
  2. Enter login credentials
  3. 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

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