Forms and Resources

Downloadable Forms and Resource Materials

For Provider Assistance (member eligibility, claims questions, general information, etc.):

Phone: (808) 532-6989
Phone: 1-800-851-7110 (toll free)

Fax: (808) 532-3396
Fax: 1-800-844-7522 (toll free)

For Pre-certification Authorization (Medical, Surgical or Behavioral Health Services):

Phone: (808) 532-6989
Phone: 1-800-851-7110 (toll free)

Fax: (808) 532-6999
Fax: 1-800-688-4040 (toll free)