FIND-DOCUMENTS

Get Your Plan Documents

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Our most commonly used forms are listed below:

  • Enrollment Form
  • Coordination of Benefits Questionnaire
  • Provider Nomination Form
  • Medical Claim Form
  • Sample Explanation of Benefits
  • Medicare Part D Notice

Forms for Providers and Physicians Offices

Our most commonly used forms are listed below:

  • Provider Manual
  • Prior Authorization Form
  • Behavioral Health Treatment Plan
  • W-9 Form

HMA values the care you provide to our members. To receive additional online services, please log into the Provider Portal where you can conduct many transactions in a convenient and secure environment.

Login or register here to access online provider services.