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Updated September 1, 2026

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Verify HMSA eligibility in real time.

HMSA supports electronic real-time eligibility. Send the check to payer ID 100937 and the full benefits picture comes back in seconds, before the patient sits down.

Payer ID 100937Real-time eligibility: YesCA, HI, NVdental / medical / visionCommercial / Medicare

Also billed as: BC HAWAII · BCBS Hawaii · BCBSHI · Blue Cross Blue Shield of Hawaii · HMSA - Medicare Advantage · Hawaii Medical Service Association

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Seconds

The same HMSA check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.

7 billing names

HMSA shows up on cards under 7 names. Every one routes to payer ID 100937, and so do 5 older payer IDs still printed on cards. No guessing which card this is.

2 programs

HMSA runs Commercial and Medicare plans. Sign in and check any patient in one click before they arrive.

From $39/mo

Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.

The phone way

Call, hold, transcribe, repeat.

Verifying HMSA by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.

The real-time way

Payer ID 100937, in seconds.

The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.

 By phoneIn Valian
Time per patient15 to 25 minutes on holdSeconds
When it happensDay of, squeezed between patientsAny time before the visit, in one click
What you getNotes scribbled while someone reads benefits aloudThe full breakdown, saved to the patient

What a HMSA eligibility check returns

  • Whether coverage is active, with plan and group details
  • Deductible, and how much of it is already met this year
  • Annual maximum, and how much of it is left to work with
  • Coverage percentages by category: preventive, basic, major
  • Frequency limits on cleanings, exams, and X-rays
  • Waiting periods, where HMSA reports them electronically

Eligibility result

Sample data
Status
Active
Plan
PPO · Group 8823
Deductible
$50 · $0 met
Annual max
$1,500 remaining
Preventive
100%
Basic
80%
Major
50%
Cleanings
2 / year

Returned in seconds · payer ID 100937

How practices handle this today, in their own words

Verbatim from recorded calls to dental offices. Names withheld.

We call the insurance, or I go on their website and do it. Yeah, we manually do it.
Office manager, general dentistry
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Front office lead, general dentistry
Our system does it, and the ones that are not set up for electronic, we do ourselves.
Practice manager, multi-provider group

How getting set up works

Step 1

Book a discovery call

A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.

Step 2

Save your carriers and codes

Pick the insurance carriers you take and the codes you check.

Step 3

Run a check in one click

Sign in, pick a patient and see their coverage in seconds before the visit, HMSA included. No hold music, no portal logins.

Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.

What HMSA supports through our network

Real-time eligibility (270/271)
Yes, in seconds
Enrollment for eligibility
None, checks work day one
Dental claims (837D)
Yes
Claim status (276/277)
Yes
Electronic remittance (835)
Yes, after a one-click enrollment, typically a few days
Electronic funds transfer
Not through our network
Claim attachments
Not through our network

Names and IDs this payer goes by

HMSA · BC HAWAII · BCBS Hawaii · BCBSHI · Blue Cross Blue Shield of Hawaii · HMSA - Medicare Advantage · Hawaii Medical Service Association. Older cards may show payer ID 10530, 12B62, HIBLS, HMSA1 and SB971. All of them route to payer ID 100937.

Payer site: hmsa.com

How to verify HMSA, step by step

1

Get the member ID and date of birth from the card or the patient.

2

Send the electronic eligibility request (a 270) to payer ID 100937.

3

Read the response (the 271): status, deductible, max, percentages, frequencies.

4

Save the breakdown to the patient. With Valian, all four take one click and a few seconds.

HMSA runs Commercial and Medicare plans across 3 states. Medicare dental benefits live in the specific Advantage plan, not in Medicare itself, so the plan on the card decides.

HMSA, quick answers

Does HMSA support real-time eligibility?

Yes. Eligibility checks to HMSA clear electronically in seconds through payer ID 100937.

What payer ID do I use for HMSA?

100937 for eligibility transactions. The same payer also appears on cards as BC HAWAII, BCBS Hawaii, BCBSHI.

What does a check cost with Valian?

Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.

Does HMSA require enrollment before I can check eligibility?

No. Eligibility checks work from day one, with no payer enrollment paperwork.

Which HMSA plans does this cover?

HMSA runs Commercial and Medicare plans in California, Hawaii and Nevada. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.

Can I get HMSA remittances electronically?

Yes. HMSA sends electronic remittance advice (835) after a one-click enrollment, typically a few days.

What if the patient's card shows a different HMSA name?

Alternate billing names route to the same payer ID, 100937. The same check covers them.

More questions about verifying HMSA? Schedule 15 minutes with us and bring your toughest plan.

Check any HMSA patient in one click, before they walk in.

Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.

Book 15 minutes, demo or onboarding

Pick a time, then tell us on the form whether it is a demo or an onboarding call.

View all 760 payers

Other California dental payers

41 other payers operating in California also verify in real time, 16 of them with Medicaid plans.

Medicaid plans in California: Aetna Better Health California, AltaMed, Blue Shield of California, Blue Shield of California Promise Health Plan, Blue Shield of California Promise Health Plan, Commonwealth Care Alliance (CCA), and 10 more.

All 42 California payers, with plan types and enrollment

Other Hawaii dental payers

9 other payers operating in Hawaii also verify in real time, 3 of them with Medicaid plans.

Medicaid plans in Hawaii: Blue Shield of California, Liberty Dental Plan, Medicaid Hawaii.

All 10 Hawaii payers, with plan types and enrollment

Other Nevada dental payers

22 other payers operating in Nevada also verify in real time, 7 of them with Medicaid plans.

Medicaid plans in Nevada: Aetna Better Health - Nevada, Anthem Blue Cross and Blue Shield Nevada, Blue Cross and Blue Shield of Illinois, Blue Shield of California, Liberty Dental Plan, Medicaid Nevada, and 1 more.

All 23 Nevada payers, with plan types and enrollment

Related payers

More payers operating in California · More payers operating in Hawaii · More payers operating in Nevada

Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.