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Find forms that you may need to fill out and return to AlohaCare.

  • AC Online Registration: Sign up to access member eligibility, claim billing and prior authorization information as well as electronic submission of referrals, prior authorization and notifications.  
  • Provider Complaint: File a complaint with AlohaCare about our services or our members. 
  • Electronic Funds Transfer (EFT): Complete this form to receive direct deposit payments from AlohaCare for services billed provided to AlohaCare members. A copy of a voided check, current PVL and this form may be submitted to AlohaCare's Provider Relations Department via USPS or may be faxed to 973-0811.