Health Insurance Department Provider Information
Provider Registration
Personal Home Care Providers should visit the Personal Home Care Benefit page for information on their registration process.
All other providers, please see below:
Healthcare Providers need to register with the Health Insurance Department (HID) in order to be reimbursed. To register with the Health Insurance Department (HID), you must complete the Registration Form (Coming Soon) and the Electronic Payment Agreement Form.
Submit the form to HID and a Welcome Kit will be sent to you.
Policy Verification
Providers registered with HID can verify the policy eligibility of HIP and FutureCare clients through the HID LIN portal. If you are interested, please email hidproviders@gov.bm to obtain registration details for this service.
Claims Submission
Providers must submit claims within 30 days of the date service. Claim submissions not received within 12 months of the date of service will be denied by HID, and cannot be billed to the policyholder as per the Health Insurance (Health Service Providers and Insurers) (Claims) Regulations 2012 (Claims Regulations).
A clean claim requires the elements* described in Schedule 1 of Claims Regulation. The 15 elements of a clean claim include:
|
Name of patient |
Name of any referring provider |
|
Date of birth of the patient |
Health policy number |
|
Name of insured person |
Certificate number |
|
Relationship of the patient with the insured person (i.e. self, spouse, child) |
Relevant current diagnostic and procedural code |
|
Address and telephone number of insured person |
Total fee amount charged |
|
Whether insured person is employed or self-employed |
Whether the claim is a maternity claim, or the result of a road traffic accident, or a work-related injury |
|
Name of insured person’s employer |
Place of service |
|
Date of the procedure |
|
It is preferable and more efficient to submit claims to HID electronically. Claims can be submitted electronically by:
- Email: hidclaims@gov.bm
- Or by Electronic Data Interchange transfer (EDI). If you are interested in sending claims via electronic data transfer, please email hidproviders@gov.bm to receive information about what is required to submit claims via EDI.
You can also submit the claims on paper by mail or in person:
By mail:
P.O. Box HM 2160
Hamilton HM CX2.
In person:
2nd Floor, Sofia House
48 Church Street, Hamilton HM 12
Claim Reimbursement
HID, as per the Claims Regulations, has thirty (30) days from the receipt date to adjudicate and make payment to the Provider for “clean” claims.
Providers will receive payments electronically to the bank account submitted in the Electronic Payment Agreement. An Explanation of Payment Statement will be mailed with details of the claim reimbursement to the provider and an Explanation of Benefit Statement to the HID Policyholders.