Billing / Insurance

IMUA Orthopedics, Sports & Health participates with most insurance plans.

Please contact our office prior to your appointment to ensure that we accept your insurance.

REFERRALS – Some insurance plans require that you obtain a referral from your primary care provider in order for your visit to be covered.  Failure to obtain the necessary referrals may lead to your visit being denied and as a result, your having to be responsible for the entire balance.

CLAIMS FILING – We will gladly file insurance claims on your behalf, however, you are ultimately responsible for your account balance. 

PAYMENT AT TIME OF SERVICE – We ask that you remit payment for any applicable co-payments, deductibles, or co-insurance amounts at the time of service.  Once your insurance carrier has processed your claim, any outstanding balance not collected at the time of service will be billed to you.

If you do not have any insurance coverage, we do not participate with your insurance carrier, or if there is a question of whether or not your insurance carrier will cover your visit, we require payment in full at the time of service. In the event that your insurance carrier does make payment, you will be refunded your payment less any balance due.

If you do have an outstanding balance due, we would appreciate your prompt payment in full.  In the event that you are unable to make payment in full, please call our business office at (808) 521-IMUA and we will be happy to arrange a payment plan for you.

DELINQUENT ACCOUNTS – If multiple attempts to collect payment from you are unsuccessful, we reserve the right to turn your balance over to a collection agency.  In addition to the balance due, you will also be responsible for any legal or collection agency fees due.

RETURNED CHECKS – A $20.00 fee will be assessed for each check returned for insufficient funds.

OSTEOPATHIC MANIPULATION- OMT diagnostic and treatment codes are universally accepted for reimbursement with most insurance carriers including for example HMSA, United Health Care, MDX Hawai‘i, Aloha Care, Cigna, and Medicare.  Please contact your insurance carrier to specifically inquire about coverage for OMT under your given plan.

We participate with most insurance plans. They include:


  • HMSA Akamai Advantage
  • HMSA 65C Plus
  • Medicare
  • United Healthcare
  • University Health Alliance
  • Aetna
  • Champus/Tricare
  • HMA
  • HMAA
  • MDX Hawaii
  • Workers Compensation