Provider : Claims Updates

Please refer to the links below to access important 'Ohana Health Plan claims guides and updates.

Reimbursement Policies
From time to time, 'Ohana Health Plan (the Plan) reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS) and nationally recognized health and medical societies.

Click the link below to access our current reimbursement policies.

Current 'Ohana Health Plan Reimbursement Policies
Claims/Encounter Companion Guides
Institutional Claims / Encounter Guide
Professional Claims / Encounter Guide
Dental Claims / Encounter Guide
Outbound Benefit Enrollment Companion Guide

NPI Compliance
Compliance with the National Provider Identifier (NPI) mandate is critical. Since May 23, 2008, claims submitted to 'Ohana must comply with the requirement to use only the NPI on standard transactions.
View 'Ohana's NPI Policy and for instructions for submitting your NPI to 'Ohana. (This will redirect to our corporate website.)

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