'Ohana Health Plan aims to ensure that claims are handled as efficiently as possible. Providers can help facilitate timely claim payment by having an understanding of our processes and requirements. The following materials may change periodically so please check for updates.
'Ohana Health Plan periodically reviews reimbursement policies to mirror industry standards and updates from the Centers for Medicare and Medicaid and other nationally recognized health and medical societies.
- Institutional Claims/Encounter Guide - English (PDF)
- Outbound Benefit Enrollment Companion - English (PDF)
- Professional Claims/Encounter Guide - English (PDF)