Billing, marketing, staffing and software for Hawaii practices
RCM Finder supports medical practices in Hawaii remotely, with end to end revenue cycle management, healthcare digital marketing, virtual medical assistance and a practice management system. Below are the Medicare and Medicaid details that apply in Hawaii, with sources.
Our services in Hawaii
End to End RCM
Coding, billing, denials and payments, managed from patient visit to payment.
See the serviceGROWTHHealthcare Digital Marketing
Local search, ads and inquiry handling that help bring new patients to your practice.
See the serviceTEAMVirtual Medical Assistance
Remote assistants for scheduling, intake, prior authorization and follow-up.
See the serviceSOFTWAREPractice Management System
One system for scheduling, patient records and billing workflow.
See the serviceHawaii billing details
Each row shows its source and when we checked it. If a source changes, we update the row.
| Topic | What applies in Hawaii | Source | Checked |
|---|---|---|---|
| Medicare contractor | Noridian Healthcare Solutions (A/B MAC JE) | CMS, A/B MAC Jurisdiction JE | Oct 20, 2026 |
| Medicaid agency | Department of Human Services, Med-QUEST Division Med-QUEST program | Official provider page | Oct 20, 2026 |
| Provider enrollment and billing | Enrollment, manuals and billing guidance for Hawaii Medicaid providers | Open the provider page | Oct 20, 2026 |
| Medicaid fee schedule | Published fee schedules for Hawaii Medicaid | Open the fee schedule page | Oct 20, 2026 |
| Commercial prompt payment | Hawaii requires accident and health insurers, mutual benefit societies, dental service corporations and HMOs to pay an uncontested claim within 30 calendar days of receipt if filed on paper and 15 calendar days if filed electronically, unless a contract sets a shorter time. Late amounts carry interest at 15 percent a year, and interest of $2 or more is added automatically. The statute's clean-claim definition excludes claims under Medicaid, Medicare, Medigap and other federally financed plans. HRS 431:13-108 | www.capitol.hawaii.gov | Oct 20, 2026 |
| Medicaid timely filing | Hawaii Med-QUEST requires Medicaid fee-for-service claims to be submitted within 12 months from the date of service, and later claims need a pre-approved timely filing waiver. | medquest.hawaii.gov | Oct 20, 2026 |
Major cities in Hawaii
We support practices in these cities and everywhere else in Hawaii, remotely.
Remote by design
No office visit needed
We support practices in every state remotely, so you do not need a local office to work with us.
Rules checked for your state
Each state page lists the Medicare contractor and Medicaid details for that state, with sources and the date we last checked.
One service or all four
Begin where the gap is biggest, whether that is payments, new patients, front-desk capacity or your software.
Hawaii practice questions
Who processes Medicare claims in Hawaii?
Noridian Healthcare Solutions is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Hawaii (A/B MAC JE), according to CMS.
Which agency runs Medicaid in Hawaii?
Department of Human Services, Med-QUEST Division runs Medicaid in Hawaii (the Med-QUEST program). The official state pages linked in the table above cover provider enrollment and billing.
How quickly must insurers pay a claim in Hawaii?
Hawaii requires accident and health insurers, mutual benefit societies, dental service corporations and HMOs to pay an uncontested claim within 30 calendar days of receipt if filed on paper and 15 calendar days if filed electronically, unless a contract sets a shorter time. Late amounts carry interest at 15 percent a year, and interest of $2 or more is added automatically. The statute's clean-claim definition excludes claims under Medicaid, Medicare, Medigap and other federally financed plans.
How long do I have to file a Medicaid claim in Hawaii?
Hawaii Med-QUEST requires Medicaid fee-for-service claims to be submitted within 12 months from the date of service, and later claims need a pre-approved timely filing waiver.
Do you work with practices outside the largest cities in Hawaii?
Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Honolulu.
Which service should a practice in Hawaii start with?
Start where the problem is biggest: End to End RCM if payments are slow or denials are high, Healthcare Digital Marketing if your schedule has gaps, Virtual Medical Assistance if your front desk is stretched, or a Practice Management System if your tools are scattered. Tell us about your practice and we will suggest a first step.
What should I send first?
A short description of your practice, your specialty, your main payers and the biggest problem you want fixed. Our form asks for the basics.
Ask about your Hawaii practice
We will reply with the details that apply to Hawaii and a suggested first step.