Claims Information

Please send all correspondence and completed claims to the following address:

Hawaii Dental Service
700 Bishop St., Ste 700
Honolulu, HI  96813-4196

HDS accepts electronic claims from the following vendors:

• DentalXChange

• Dentrix

• Easy Dental

• G&C Claims

• Innova Dental

• Kodak

• Tesia - PCI

Contact your vendor directly for more information.

HDS Online – For Participating Dentists Only

HDS’s web-based product is available to participating dentists in the State of Hawaii, Guam and Saipan to verify patient eligibility, limits, benefits, history and to submit claims. To register for HDS Online, complete and fax the following form to Professional Relations.

Claim Submission and Signature on File form

Claims Appeal Process

If you would like to appeal a claim, please contact HDS in writing within 90 days of receiving the Remittance Advice (RA).  Mail a copy of your letter indicating the claim number along with the RA.

Correcting a Processed Claim

Please complete a Provider Service Change Authorization form and mail it to the address listed above.

Provider Service Change Authorization form