Hawaii practices, Noridian rules first

Cardiology billing services in Hawaii

Sources checked: 2026-09-30. Sources and review scope.

Cardiology billing services in Hawaii start with Noridian, your Medicare contractor for jurisdiction JE. Its published coverage policies are one part of Medicare claim requirements. Policies can overlap across contractors, so payment under one contractor doesn't guarantee payment under another. We're based in Texas, bill every state remotely, and bill cardiology only, at 3% of collections.

Talk to our team Explore pricing

3% of collectionsNo setup feeNo contract

Cardiology billing services in Hawaii: Honolulu and Diamond Head seen from above — Hawaii Medicare claims go to Noridian

01Medicare

How Noridian pays cardiology in Hawaii

Noridian processes Medicare claims for jurisdiction JE: Hawaii, California, Nevada and the Pacific territories. It writes its own local coverage policies for echo, nuclear imaging and cardiac monitoring. A study that pays under one contractor can be denied under another.

We check the applicable policy before filing. If documentation appears incomplete, we flag it for the practice to review before submission. Only the treating clinician can determine or change clinical documentation.

Checked against Noridian

Claim 31126Stress echo · POS 11

93350Stress echo, with reportChecked
DiagnosisOn Noridian policyChecked
NoteReason for the study documented in the recordChecked
ReportSigned before billingChecked
Claim reviewComplete

Noridian policy, checked per claim

02Payers

Hawaii plans and billing

HMSA is the Blue Cross Blue Shield company listed for Hawaii. Commercial and Medicare Advantage requirements depend on the member's product, provider network and contract, so we verify the current plan before billing. UnitedHealthcare, Kaiser Permanente and UHA Health Insurance may also appear; coverage and network status depend on the member's plan.

Hawaii's Med-QUEST program delivers most Medicaid services through managed care, with fee-for-service also available. The state lists its QUEST health plans and provider resources. We verify the member's current plan or fee-for-service route and its requirements for each service.

Med-QUEST route confirmed

Claim 31158Echo 93306 · Honolulu

Employer plan and eligibility confirmedChecked
HMSA product line and contract verifiedChecked
Authorization checked for the studyChecked
Med-QUEST plan or fee-for-service route checkedChecked
EligibilityConfirmed

Member coverage and product confirmed

03Your city

Cardiology practices we serve in Honolulu, Kailua, Hilo, Kahului

We're built for independent practices of 1 to 10 cardiologists with imaging in the office. That means echo and vascular labs, a nuclear camera, monitors and device checks.

For patients with more than one active plan, we confirm coordination-of-benefits information and the applicable payer order before billing.

Service location confirmed

Claims 31171, 31172Holter 93224 · POS 11

Oahu practiceClaim 31171

93224

Service address and date checked

Claim statusReviewed

Hawaii Island practiceClaim 31172

93224

Service address and date checked

Claim statusReviewed

Verify each service address and date

04Switching

Switching from a local biller

Leaving a local biller, or a biller who left? The switch runs on a 60-day plan. Your claims keep moving from day one, and we work the old A/R in parallel.

Your dedicated biller learns your payers, your EHR and your doctors, and stays with your practice.

Your first 60 days with us

No gap in claims

Your switch60-day plan

Day 1New claims go out daily
Weeks 1 to 8Old A/R worked in parallel
Day 60Your biller fully on the account

Claims keep moving from day one

05Questions

FAQ

Do you bill for practices on Maui, Kauai and Hawaii Island?

Yes. We bill for every island under the same Noridian rules.

How do you handle the time difference?

You talk to someone who knows cardiology. Mon to Fri, 9 to 5 Central. Claims go out daily, and questions come to you in writing.

What does it cost?

3% of collections. No setup fee, no contract, no per-claim charges.

Sources and review context

Checked on September 30, 2026. This administrative source check is not a clinical or credentialed coding review, legal opinion, payer-contract audit, or guarantee of coverage or payment.

Medicare contractor: CMS's JE jurisdiction page identifies Hawaii, California and Nevada in jurisdiction JE. CMS's MAC directory links state provider websites.
Fee schedule and locality: CMS's CY 2026 Physician Fee Schedule locality data and CMS fee-schedule downloads and ZIP-to-locality guidance support checking a service ZIP and date.
Med-QUEST: The state explains its Med-QUEST health-plan and fee-for-service delivery options and provides provider billing resources.
Commercial payer: BCBSA's state company directory lists Blue Cross and Blue Shield of Hawaii (HMSA). It does not establish market share or a specific contract's terms; verify the member's product and provider agreement.

06Get in touch

Send us your last 90 days of claims

We review them by study and by payer, free, with no strings.

Talk to our team Explore pricing

3% of collectionsNo setup feeNo contract

Free, no strings

Your 90-day Hawaii reviewLast 90 days

Every claim, by studyIncluded
HMSA payments against your contractIncluded
Checked against Noridian policyIncluded