Payer List

Hawaii Medicaid

Please follow the Enrollment Instructions below to become an electronic submitter for Hawaii Medicaid Med-QUEST.

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be completed, signed and returned to the Hawaii Medicaid office prior to initiation of electronic claims submission or inquiry.

1. Electronic Data Interchange Request (DHS1188A)

To obtain the form listed above please send an email to: hi.ecstest@xerox.com

If you have any questions regarding the enrollment form please send an email to the address listed above.

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Electronic Data Interchange Request

Section I.

This section should be prefilled for you. The boxes checked should be: Add User, Upload, and Download

Section II.

Please enter your Business/Practice or Provider Name, Address, and contact information
Leave the Submitter ID field blank
For SolAce's IP Address please call us at 602-439-2525 option 1
Note: Feel free to make up any four digit PIN for the "last four of SSN" field. Please remember to write it down in the event they need to confirm your identity for security measures
Enter a point of contact for all EDI requests
Enter a point of contact for all technical issues
If you are a Billing Service, the provider you will be submitting for goes in this section and your information will go in Section III.

Section III.

If you are a Business/Practice or Provider submitting for yourself please reenter your information
If you are a Billing Service submitting on behalf of a Business/Practice or Provider, please enter your information in this section

Section IV.

The box for 837 Claims Transactions will automatically be checked
Please check the box for 835 Remittance Advice if you wish to receive your Explanation of Benefits electronically

Section V.

The Affirmation Attached box will be checked for you

Section VI.

Please skip this section

External User Affirmation Statement

Please read through this statement and have the signing authority in your office print their name, enter their signature and todays date

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records. Fax or Email the forms to:

Email: hi.ecstest@xerox.com

Fax: 808-952-5595 ATTENTION: EDI Coordinator

It is very important that you complete and return the entire enrollment packet as described above. Incomplete packets will not be processed and will be returned to the submitter.

Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately two weeks from the date of receipt.

After processing, a confirmation will be sent to you as notification to begin filing claims electronically. If neither confirmation nor a response is received after two weeks, contact the HI Medicaid EDI Department at: hi.ecstest@xerox.com

Testing

Once you have received your Submitter ID and Password from HI Medicaid, please call the SolAce Support Team at 602-439-2525 option 1 to set an appointment for a Mailbox setup and Test Transmission.

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

Page Category:

Direct

Medicaid

customer Testimonial

From our customers

I am very pleased with our SolAce billing software and how easy it is to navigate. They have a great team who can train you to do billing even if you don’t have billing experience. Special thanks to Cathy, Gigi, and Skyler who always helps me out every time I have issues.

Shani Madaminova,
Administrator
Best Home Care, Inc
Jersey City, NJ

SolAce is awesome software. I absolutely LOVE it. For over three years I have used this software daily for multiple long term care facilities to submit claims to various MACs, Medicaid, and Medicare Advantage and Supplemental Insurance carriers. It is convenient, simple to use and far less costly than any Clearing House software I had explored. The ability to import from my Practice Management Software and Therapy Providers has reduced any RTP claims edits and denials are a thing of the past. Customer Support is “Johnny on the spot”, but terrific as they may be, it gets better - RARELY do I need to call. LOVE IT, LOVE IT, AND LOVE IT.

Susie Doran Carter, Westcare Management, Inc.
LTC Medicare Consultant and Billing Service
Salem, OR

I think our medical office was one of the first to use SolAce in the mid 1990’s and we are still using it today for all of our electronic billing because it works ! It was simple for our staff to learn and it integrated easily with our accounting/billing program. It has been especially nice to know that the Axiom staff is there when Medicare changes something and they are right on it. They made the 5010 change a simple process plus made educational seminars available to us. Thank you to all the Axiom/ Ivertex professionals who have helped us for the last 15+ years.

Carolyn Boles
From the office of Donald J. Boles Jr. MD PC
Tempe, AZ

SolAce has been a valuable tool that has been a life saver for my billing service for years. It has allowed me to bill professional and institutional claims with ease. Customer service @ SolAce is top rated in my opinion. The SolAce product is very user friendly and affordable. Thank you SolAce team for a great product.

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Idabel, Oklahoma

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Carl Shepherd
IT Administrator
THE WYNN GROUP, INC
Dublin, GA

I am a new client and was having a tough time getting everything set up just right. I had to make calls to CEDI and when I called back the rep I spoke with prior even helped the 2nd rep to make sure I got all the info I needed. They definitely work as a team. Within a short period of time they had my system up and running. I never could've done it without them.

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Margate, FL

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Bellevue, NE

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Bemidj, MN

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Mahornet, IL

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