Whole Foods Market plan: Hawaii PPO (HMSA)

Source: https://www.hmsa.com/content/assets/hmsa-member-claim-form.pdf

Read date: 10-09-2026

Research steps

1. Confirm that the Whole Foods Hawaii PPO is your plan. The 2026 Whole Foods guide identifies HMSA but says the controlling Guide to Benefits is plan-specific. https://www.mywfmbenefits.com/benefits/hawaii-ppo and https://www.mywfmbenefits.com/guide.pdf
2. Sign in to HMSA My Account. Select Forms from the drop-down arrow, Medical Receipts, the appropriate button, and Continue. https://www.hmsa.com/content/assets/hmsa-member-claim-form.pdf
3. Upload invoices, complete the on-screen form, and select Submit. The authenticated screen was not opened. UNREADABLE: its fields, file types, size, file count, signature controls, and confirmation. https://www.hmsa.com/help-center/filing-medical-claims-for-services-from-nonparticipating-providers/
4. The receipts must show CPT or HCPCS codes, ICD-10 codes, individual cost per service, provider name and address, and applicable NPI, provider tax ID, or state license number. Write the HMSA subscriber number on every supporting page. https://www.hmsa.com/content/assets/hmsa-member-claim-form.pdf
5. Submit within one year from the last date of service. In most cases payment is member-payable to the subscriber, but plan type and service can direct payment to the provider. https://www.hmsa.com/content/assets/hmsa-member-claim-form.pdf
6. Check status in My Account. HMSA says processing may take at least 90 calendar days or longer depending on complexity, volume, or missing information. https://www.hmsa.com/help-center/filing-medical-claims-for-services-from-nonparticipating-providers/

Filing facts

• Portal upload: YES
• Portal: HMSA My Account
• Portal path: My Account > Forms from the drop-down arrow > Medical Receipts > select the appropriate button > Continue > upload invoices > complete the online form > Submit
• Mail address: HMSA, P.O. Box 860, Honolulu, HI 96808-0860
• Fax: NOT PUBLISHED
• Attach: Procedure codes using CPT or HCPCS; diagnosis codes using ICD-10; individual cost per service; provider name and address; applicable NPI, provider tax ID, or state license number; member and subscriber information; date and place of service; units; total; other coverage or accident facts when applicable
• File types: NOT PUBLISHED
• File size limit: NOT PUBLISHED
• Maximum files: NOT PUBLISHED
• One file or separate files: NOT PUBLISHED
• Confirmation: NOT PUBLISHED
• Status check: HMSA My Account > claim status
• Processing time: At least 90 calendar days or longer depending on complexity, volume, or missing information
• Member deadline: Within one year from the last service date
• Deadline basis: YES: federal and postal plans differ; the Whole Foods Guide to Benefits is behind login
• Mental health route: NOT PUBLISHED: no separate Whole Foods outpatient psychotherapy claim route was found

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.