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Resources For Providers

We want to make sure that you have additional resources to take care of our members. Below is a list of resources and links that you may find helpful. 

Provider Training
Please click here to access required provider training. Topics include:

  • Fraud, Waste, and Abuse
  • Member Rights and Responsibilities
  • Provider Rights and Responsibilities
  • Billing
  • Grievances and Appeals

After completing the provider training, please complete the training acknowledgement form by clicking here. If you would like to request a face-to-face training, please call Provider Services at (808) 973-1650.


AlohaCare Advantage Plus (HMO SNP) Model of Care Program
AlohaCare Advantage Plus is a dual-eligible Special Needs Plan (SNP). One advantage for members of SNP plans is the SNP Model of Care, which is an interdisciplinary care coordination program.

The following are links to resources related to the SNP Model of Care.


AlohaCare Credentialing Process
Click here for more information about AlohaCare's credentialing process.

AlohaCare Electronic Claims Submission
Click here for more information about how to submit claims electronically.

ICD-10 Resources

ICD-10 Information Session Slides
Our
ICD-10 Information Session presentation
 slides as presented during AlohaCare's June 2015 training sessions.

ICD-10 Translation Tools


Additional Resources
Below is a list of resources that you may find helpful. By clicking on any of the links below, you will be leaving the AlohaCare website.

  1. Med-QUEST
  2. Center for Medicare and Medcaid Services (CMS)
  3. CMS ICD-10
  4. Noridian Medicare
  5. URAC
  6. National Committee for Quality Assurance (NCQA)
  7. Office of Minority Health - Cultural Competency
  8. National Standards of Culturally and Linguistically Appropriate Services (CLAS)
  9. Think Cultural
  10. BMI Calculator