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Medicaid Hawaii

This payer supports electronic dental and professional claims and eligibility and benefits through 837D, 837P, and 270/271 transactions. Institutional claims (837I) and remittance (835/ERA) require payer enrollment; claim status, EFT, combined ERA/EFT, coordination-of-benefits transactions, and attachments are unavailable electronically here.

Primary payer IDSKHI0
Directory IDUMKQD
States1

Supported transactions and requirements

TransactionStatus
Eligibility & benefits (270/271)Supported
Claim status (276/277)Not supported
Professional claims (837P)Supported
Institutional claims (837I)Enrollment required
Dental claims (837D)Supported
Electronic remittance (ERA 835)Enrollment required
Electronic funds transfer (EFT)Not supported
ERA + EFT combinedNot supported
Coordination of benefits (271)Not supported
Attachments (275)Not supported

Other payer IDs and names

Coverage states

Hawaii.

Enrollment requirements

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Common questions

Does this payer support 270/271 eligibility checks?

Yes. Eligibility and benefits inquiries and responses are supported through 270/271, but coordination-of-benefits transactions are not supported through this connection.

Can I submit institutional claims electronically?

Yes, but payer enrollment must be completed first. Institutional claims use the 837I transaction.

Can I receive ERA files from this payer?

Yes, after the required payer enrollment paperwork is completed. ERA 835 is supported, but EFT and combined ERA/EFT are not.

Can I check claim status or send attachments electronically?

No. Claim status through 276/277 and attachments through 275 are unavailable through this connection.

Run this payer inside Hero EMR

Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.

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Payer connectivity data last synced 2026-05-26. Compiled by Hero EMR from its clearinghouse network, which is built on the Stedi public payer network. Support status can change; confirm during onboarding. Back to the payer directory.