Provider – Claims Information
Please send all correspondence and completed claims to the following address:
Hawaii Dental Service
700 Bishop St., Ste 700
Honolulu, HI 96813-4196
HDS accepts electronic claims from the following vendors:
- Apex EDI
- Innova Dental
HDS Payer ID: 99010
HDS Medicaid Payer ID: HDSMH
Contact your vendor directly for more information.
HDS Online – For Participating Dentists Only
HDS’s web-based product is available to participating dentists in the State of Hawaii, Guam and Saipan to verify patient eligibility, limits, benefits, history and to submit claims. To register for HDS Online, complete and fax the following form to Professional Relations.
Claims Appeal Process
If you would like to appeal a claim, please contact HDS in writing within 90 days of receiving the Remittance Advice (RA). Mail a copy of your letter indicating the claim number along with the RA.
Correcting a Processed Claim
Please complete a Provider Service Change Authorization form and mail it to the address listed above.