Providers Page

Provider Information

Hawaii SMG is actively recruiting new Primary Care Physicians (PCPs) and Specialist Physicians to support the growing number of members choosing Hawaii SMG for their healthcare needs.  Hawaii SMG is committed to supporting independent community physicians.  Our unique capitated payment model, with generous PCP capitation compensation combined with incentives for quality care, helps the physicians in our IPA successfully manage both clinical and non-clinical needs for our patients. 

Fast Referrals support both patients and physician offices.  Many member services are available through Direct Referrals.  An Easy Online Referral Portal assists physician offices when a referral is needed for a member.  Hawaii SMG has a referral system where:

  • Over 60% of authorizations are auto approved
  • Urgent Authorizations are completed in 2 hours
  • 90% of authorizations completed in 48 hours

An Easy Claims Submission Process supports rapid claim payment. Hawaii SMG has:

  • Electronic Claims Submission
  • A User-friendly Claims Information Portal
  • Experienced Claims Examiners

Proactive Physician Office Training and Support Programs are provided by an experienced team which includes Certified Coders and CMS Star Experts.  Support Programs and Training are provided in both the Physician office and at off-site training meetings. 

How to Join Hawaii SMG

Physicians interested in joining Hawaii SMG can contact our contracting department at contracting@amm.cc or call either (808) 200-2066 or (888)-239-6724 to be connected with the business development manager in your area.

Provider Portal Access

Contracted Hawaii SMG providers can select the following links to access the Hawaii SMG Provider Portals for Referrals and Claims. If you need assistance in accessing the portals, please contact ProviderOfficeManagement@amm.cc 

Referral Portal (Cerecons)

Claims Status Portal

Results 1 - 18 of 333
Sort by:

ELENITA
ALVAREZ, M.D.

(0 miles)
  • Obstetrics & Gynecology
(808) 521-9847 Fax: (808) 521-7186

SHIRLEY
AU, PSY.D.

(0 miles)
  • Psychology
(808) 398-4398

EMMA
AVILLA, M.D.

(0 miles)
  • Obstetrics & Gynecology
(808) 842-1585 Fax: (808) 842-6951

NENITA
BALA-ALBANO, M.D.

(0 miles)
  • Internal Medicine
(808) 676-0865 Fax: (808) 676-1970

RAINIER D
BAUTISTA, M.D.

(0 miles)
  • Family Practice
(808) 841-4195 Fax: (808) 677-2720

RAINIER D
BAUTISTA, M.D.

(0 miles)
  • Family Practice
(808) 671-3911 Fax: (808) 677-2720

CARMEN
BAYBAYAN, M.D.

(0 miles)
  • General Practice
(808) 487-7077 Fax: (808) 487-2398

DAVID
BEHLING, M.D.

(0 miles)
  • Obstetrics & Gynecology
(808) 585-0785 Fax: (808) 942-7025

WILLIAM
BERINGER, D.O.

(0 miles)
  • Neurological Surgery
(808) 744-6638 Fax: (808) 744-7502
View More Doctors

Urgent Care Centers (Call for Hours)

Visit an urgent care center when you cannot get an appointment with your doctor and you have an urgent non-life-threatening medical need.

Please note that these Urgent Care Centers are not owned and operated by Hawaii SMG and their hours/availability are subject to change. Please call the UCC directly for more information.

Please follow-up with your doctor after any Urgent Care/ER visit or hospital stay. Your doctor knows you best and will work with you to monitor and manage your conditions to keep you in the best possible health.


Preferred Hospitals

View All Preferred Hospitals

Lab Services

CLINICAL LABS OF HAWAII-KAILUA II
(808) 266-6833
VIEW ALL LAB SERVICES