UHA Health Insurance Spring 2017 Newsletter
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Message from the CEO

Employee Wellbeing—Addressing Mental Health in the Workplace

I’m honored to share that UHA has been nationally recognized by the American Psychological Association (APA) with a Psychologically Healthy Workplace Award.  The APA award is a testament to the impact that a culture of workplace wellness has had on our organization and can have on others.

At UHA, we see it as our responsibility, our kuleana, to support businesses in their pursuit of workplace cultures that encourage employee wellbeing. With respect to mental health, it’s common knowledge that a leading cause (if not the main cause) of stress is finances.  With stress proving to have such detrimental and devastating effects on overall health, we see financial wellbeing as a cornerstone of decreased stress and ultimately better health. 

The discussion on financial wellbeing will continue at the May 18th general meeting of UHA’s subsidiary, the Hawaii Health at Work Alliance (HH@WA), where Dr. Brad Klontz, Psy.D., is sharing his research findings on the psychology of financial wellness.  I’m also excited to share the findings of the first Hawaii Workplace Wellness Survey conducted by HH@WA—also featured at the May 18th annual meeting.

For event tickets and more information on the HH@WA May 18th event, visit:

Howard Lee
UHA President & CEO

Provider Voice

Meet Dr. Kathy Kozak

Part-time UHA Medical Director, host of Hawaii Public Radio's "The Body Show"

Honolulu, HI (March 16, 2017) – Kathleen Kozak, M.D. has joined UHA as a part-time medical director, while continuing her practice as an internal medicine physician at Straub Clinic and Hospital.

As a UHA medical director, she will assist UHA members with access to quality health care services and work to ensure that these services are provided appropriately and consistently. She will serve on UHA’s Physician Advisory Panel as well as working closely with UHA providers and our in-house care management nurses.

Learn more about Dr. Kozak

Provider Agreement and Fee Schedule Renewal - Effective August 1, 2017

By now, you should have received the 2017 Provider Agreement and Fee Schedules (Exhibit IA and Exhibit IB). We ask that you return the signed Agreement to UHA via email to prior to the effective date.

As a reminder, providers who have enrolled to receive EFT payments and access RA’s via UHA’s Online Provider Portal are eligible for the higher reimbursement rates shown in Exhibit IA.  Providers who are not registered for EFT and UHA’s Online Provider Services Portal are eligible for the reimbursement rates shown in Exhibit IB.

Please register for Electronic Funds Transfer (EFT) and UHA’s Online Provider Services Portal and become eligible for the higher reimbursement rates shown in Exhibit IA.

If you have not received a copy of the 2017 Provider Agreement and Fee Schedules (Exhibit IA and IB) and would like a copy, please contact UHA’s Contracting Services Department via email at

Please submit your completed forms via fax to 1-866-572-4383 or via email to

Onsite Flu Vaccinations

We are partnering with Express Scripts (ESI), our Pharmacy Benefit Manager (PBM) to administer onsite flu vaccinations for our employer groups.  ESI will be mailing out a Request for Proposal (RFP) to all participating pharmacies in the network to provide this valuable service to our employer groups in September for the 2017 to 2018 flu season. 

New Prior Authorization List

Please be on the lookout for the new Prior Authorization (PA) list effective June 1, 2017.   The PA list helps to identify which services require a prior authorization.  UHA’s Health Care Services Department will make a decision within 15 days of receipt of your request for prior authorization.  But if you submit your PAs via our handy online prior authorization tool, you will get an even quicker response to your requests.  Log onto the Provider Portal to view a quick “how to” video!

For more information, please contact our Health Care Services Department at (808) 532-4006 or Toll free at (800) 458-4600, ext. 300.

Do you have patients at risk for diabetes?

UHA is teaming up with the Hawaii State Department of Health (DOH) and YMCA to promote awareness of prediabetes in adults, and encouraging patients to talk to their health care providers about their risk for diabetes. Visit to learn more about the DOH’s “PREVENT | Diabetes Hawaii” campaign and access Provider Resources such as:
  • ICD codes for prediabetes and diabetes screenings
  • A quick, easy online diabetes risk test for patients
  • Printable handouts and other online resources for patients
  • Free prevent diabetes clinic posters
  • Ways to engage your health care team
We’ve also recently contracted with the YMCA to offer their diabetes education program to qualifying UHA members.

Find out more about YMCA’s Diabetes Prevention program on their website, or at

Mod 25 Reminder

UHA requests that documentation be submitted with all claims billed with modifier 25 with an E&M service billed during the same encounter as the procedure.  The submission of documentation with the claim, like progress notes or a history and physical, will help UHA determine that modifier 25 has been used appropriately.  Please visit UHA’s medical payment policy on Office Visits and Consultations for more information.

Stories To Celebrate UHA's 20 Years of Serving Hawaii's Businesses and Families

Anna, Customer Services Representative
"When you respect people, it’s about understanding how the other person feels at that moment, and being able to put your feelings aside and assist them any way you can."
Sarah, Employer Services Manager
“I want to see people have success. Not just to follow me, but to move up and onward.”
Check out their stories here!
Member Voice
Did you know that half of Hawaii's adults have prediabetes or type 2 diabetes?

UHA is teaming up with the Hawaii State Department of Health (DOH) and YMCA to promote awareness of prediabetes in adults, and encouraging patients to talk to their health care providers about their risk for diabetes. Visit to take the 30-second diabetes risk test and learn more about what you can do about your health.

Find out if you're at risk for prediabetes.
After-hours pediatric clinic now open at Queen's West Oahu
Donate or Sign Up for the Walk to Cure Arthritis on Saturday, May 18
Employer Voice

UHA Recognized for Promoting Employee Well-Being and Performance

In recognition of our efforts to create a healthy, high-performing work environment, University Health Alliance (UHA) received the American Psychological Association’s (APA) 2017 Psychologically Healthy Workplace Award at a ceremony in Washington, D.C., on March 23. We were one of five employers from across North America to receive the award this year, and our organization won in the small for-profit category.

What makes a "psychologically healthy" workplace?
On May 18, we're breaking ground on worksite wellness in Hawaii.
Wellness Corner: The experts answer your questions about worksite wellness
Share, collaborate, and learn how to create successful wellness programs
and lead your company to become an 'employer of choice'.
Join the discussion!
Upcoming Events

Every Tuesday

•  Join the Discussion with HH@WA's New LinkedIn Group

Every Saturday

8:00 AM @ Central O‘ahu Regional Park
•  Walk with a Doc

Sunday, May 21

9:00 AM - 11:30 AM @ Campus Center at University of Hawaii at Manoa
•  Walk to Cure Arthritis
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