Benefits Handbook

Generally, you don't need to file a claim. All participating and many nonparticipating providers in the state of Hawaii will file claims for you. If your nonparticipating provider does not file a claim for you, you will need to submit an itemized bill or receipt listing the services you received within 90 days of the last day on which you received services.

There are special rules, procedures and deadlines that apply to appeals of benefit determinations and denied claims and you have special legal rights under ERISA. Please refer to the Administrative Information section for a description of the appeal process.