RCM360 Solutions manages your claims from submission to payment, so your Hawaii practice gets paid accurately and spends less time on insurance paperwork.
Hawaii has a payer mix unlike the mainland. Practices bill Medicare through Noridian Healthcare Solutions, Med-QUEST (Hawaii Medicaid) through its QUEST Integration plans such as AlohaCare, Hawaii Medical Service Association (HMSA), Kaiser Permanente, and ‘Ohana Health Plan, and commercial carriers including HMSA, Kaiser Permanente Hawaii, UnitedHealthcare, and Hawaii Medical Assurance Association (HMAA). Many practices also bill TRICARE for military families. RCM360 Solutions manages each step of your revenue cycle, from verifying coverage to posting payments, so your team can focus on patients.
Unpaid claims hold up revenue your practice has already earned. We review your open balances on a regular schedule, contact insurers directly, and follow each claim until it is paid or appealed.
Our certified team understands Hawaii payer requirements and manages each claim from submission to final payment.
When you add a provider or open another clinic on any island, we take on the extra claims so billing stays on schedule.
Regular reports show what was billed, paid, denied, and still owed, so you can see how your practice is performing.
We find the reason for each denial, correct the error, and resubmit or appeal the claim before the insurer’s deadline.
Claims unpaid after 60 days get priority attention and direct insurer contact, so they are collected instead of written off.v
From practices in Honolulu and Kapolei to clinics on Maui, Kauai, and the Big Island, claim errors and slow payments strain cash flow. We focus on sending accurate claims and following up until they are paid.
Each specialty has its own codes and insurance requirements. Our billers work with your type of claims every day, so they are prepared correctly the first time.
Well-child visits, vaccine billing, and claims for children covered by Med-QUEST, with correct codes for each visit.
X-ray, MRI, CT, and ultrasound claims with the correct split between technical and professional charges.
Chemotherapy and infusion billing, correct drug codes and units, and insurer approvals for ongoing treatment.
Claims for stress tests, echocardiograms, heart monitoring, and office procedures, supported by complete documentation.
You do not need to change your software. RCM360 Solutions connects securely to the EHR and practice management system you already use, and our team handles the billing from there.
We bill Medicare through Noridian Healthcare Solutions, Med-QUEST (Hawaii Medicaid) and its QUEST Integration plans, Medicare Advantage plans, TRICARE, and major commercial insurers such as HMSA, Kaiser Permanente, UnitedHealthcare, and HMAA.
Yes. We work remotely and connect securely to your EHR, so you get the same service whether your practice is in Honolulu or on Maui, Kauai, or the Big Island.
No. Claims are submitted and followed up on based on payer deadlines, not office hours. We plan our workflow so your claims keep moving regardless of the time difference.
Fill out the contact form or call us. We will review your current billing, explain where we can help, and plan the switch so your claims keep moving without interruption.
Talk to RCM360 Solutions about reducing denials, getting paid sooner, and seeing clearly how your Hawaii practice is performing.
