Hawaii rehabilitation provider billing —
HRS 386-25 plans, DCD-certified.
HRS 386-25 runs vocational rehabilitation through plans the Disability Compensation Division approves, delivered by DCD-certified providers on a public list. HEMIC and the private carriers pay the invoices, and the approved plan is what you are billing against.
The facts, before the pitch.
How billing works in Hawaii
- Who you bill
- The carrier.
- What you send
- Invoice.
- The channel
- Direct.
- Fee basis
- No published rate we have verified. Ask the Hawaii Disability Compensation Division (DCD) before anyone quotes you one — including us.
- The clock
- Not a deadline we have verified for Hawaii. Ask the Hawaii Disability Compensation Division (DCD), and read the payer’s own contract, before you rely on a date.
The system. Certified providers on a public list, working to approved plans.
Where the rules are written. HRS 386-25.
Configured for Hawaii during onboarding — see it with your caseload. Your rates, your forms, your payers and your folder names are set up in your first week, included in every plan. What is on this page is what we would configure; we have not claimed a single Hawaii customer anywhere on it.
Your week, in Hawaii’s documents.
Plan-gated work in an island market where the same adjusters see all of your files.
- 8:05 a.m.Plan approved by DCD. Work begins against it.Every entry from here lands on the one claim record, dated, coded and priced as you type it.
- 10:50 a.m.Employer contact and a call with the treating physician.Two entries, timed as they happen, both feeding the same monthly report.
- 1:40 p.m.Inter-island travel for a client meeting.Travel time and mileage are their own lines, because they are their own conversation.
- 4:20 p.m.Invoice against the approved plan, itemized.A receivable that ages by payer from the day it leaves.
Every one of those rows is typed once, as it happens. The daily log writes itself as you go, the weekly narrative log builds in your own Word template, a CMS-1500 fills with the right units and the right payer block where a payer wants one — and where your state bills on its own form or an invoice, the dated, timed, priced lines that go on it come off the grid, and the receivable is tracked from the moment the bill leaves. The whole chain →
The approved plan is the budget, and it is the only budget.
Under HRS 386-25 the Disability Compensation Division approves the plan and the plan defines what is billable. Work outside it is work you did for nothing, and the discovery usually happens at invoice time.
Which is why the plan sits on the file as an authorization: what was approved, what has been used, what is left, on the grid while you are deciding what to schedule.
HEMIC, the heritage fund, and the private carriers are the payers. In a market this size the same adjusters see everything you send, which makes a clean itemized invoice a reputation rather than a document.
Who pays you in Hawaii.
HEMIC and the private carriers, with the Disability Compensation Division approving the plans behind the work. Small market, familiar names, long memories.
Hawaii payers
- HEMIC (heritage fund)
- Private carriers
National carriers you will meet
- Travelers
- The Hartford
- AmTrust
- Zurich
- Chubb
- Berkshire Hathaway
- Liberty Mutual
- AF Group / Accident Fund
- Old Republic
- Great American
TPAs that send the referrals
- Sedgwick
- Gallagher Bassett
- ESIS
- Helmsman
- Broadspire
- CorVel
- TRISTAR
- CCMSI
- Athens Administrators
One check, many claimants. Whichever of these names is on the envelope, the check covers a dozen files at once. You record it once, tick the bills it pays, and anything short is flagged with the exact gap and the original form attached, ready to rebill. How that screen works.
Billing addresses and submission preferences go stale faster than any page can keep up, so we publish them only where we keep them current — today that is Ohio’s nine MCOs. Your Hawaii payers and their submission preferences get set up during onboarding, from your own files.
Where the rules actually live.
Ask the Hawaii Disability Compensation Division (DCD) for
- the current text of HRS 386-25
We have not published a verified link set for Hawaii yet, and we would rather send you nowhere than somewhere out of date. If you have the current documents, send them over — admin@onservice.us.
How we keep this page honest
Every fact above is transcribed from the Hawaii Disability Compensation Division (DCD) or the statute named, dated July 2026, and reviewed when the agency republishes. Where we have not verified something we say so rather than filling the gap.
Found something out of date? Tell us and we will fix it the same week: (302) 202-3172 or admin@onservice.us.
See a Hawaii caseload run itself.
Fifteen minutes, Hawaii’s codes on screen, with a caseload that looks like yours. Or start the trial and poke around on your own — no card, no contract.
There is a phone number and a person answers it: (302) 202-3172.
States that work like Hawaii
Questions, answered.
Can it track work against a DCD-approved plan?
Yes. The plan is an authorization on the file: approved, used, remaining, visible as you work rather than discovered at invoice time.
Does it handle travel and inter-island costs?
As separate itemized lines with their own rates, which is how they need to appear if an adjuster is going to approve them without a call.
Is there a published Hawaii rate?
Not one we have verified, so this page prints no rate. Ask the Disability Compensation Division.
What gets configured during onboarding?
Your invoice template, folders and naming, payer list, rates and reports — from your own filed copies, in your first week, included in every plan.
Is my client data on your servers?
No. Local database on your own machine, documents in your own folders, our server holds only your license.
See your own week run itself.
We load your state’s codes before the call, so you are looking at a caseload like yours inside the first two minutes — not a slide deck.