Forms and Documents

Questions? Contact Customer Services (808) 532-4000, or toll free 1 (800) 458-4600 8 a.m. - 5 p.m. Hawaii Standard Time Monday through Friday except holidays

Provider Network & Online Provider Services Forms (no paper forms required)

Login to Online Provider Services and use the Forms tab at the top of the Welcome Page to access these forms:

EDI

Other Forms

W-9
W-9
PDF Document

Documents & Resources

ICD-10 Facts
ICD-10 Facts
PDF Document
Provider Handbook
Provider Handbook
PDF Document

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