State guide · HI ·
Dispute a medical bill in Hawaii.
Hawaii gives you stronger protections than federal law alone. Audra audits your bill against Federal No Surprises Act + Hawaii Insurance Division, the federal No Surprises Act, and your insurer's contracted rates — then drafts a ready-to-send appeal letter in 60 seconds.
The law
Federal No Surprises Act + Hawaii Insurance Division
Cite: Haw. Rev. Stat. ch. 431 + federal NSA
Hawaii relies primarily on the federal No Surprises Act, supplemented by the Hawaii Insurance Division's oversight of state-regulated plans + Hawaii's universal employer health-care coverage requirements.
Your rights
What Hawaii protects you from.
- 01
Federal NSA: in-network cost-sharing for emergency + in-network-facility out-of-network services.
- 02
Hawaii Insurance Division complaint portal at cca.hawaii.gov/ins.
- 03
Federal good-faith estimate requirement applies.
- 04
Hawaii Prepaid Health Care Act requires employer coverage for most employees, reducing surprise-bill exposure.
How Audra helps
From upload to appeal in 60 seconds.
01
Upload your bill
Drop a PDF, photo, or EOB into Audra. Encrypted in your browser before it leaves your device.
02
We check it against the law
Audra cross-references every line item against Federal No Surprises Act + Hawaii Insurance Division, the federal No Surprises Act, your insurer's contracted rates, and CMS billing rules.
03
Get a ready-to-send appeal
We draft a letter citing the specific HI statute and any federal protections that apply, formatted for your insurer and provider. Print it, email it, or send it from inside Audra.
In-state coverage
Works for bills from any Hawaii provider.
Audra audits bills from every major hospital system in Hawaii, including:
If your bill comes from an out-of-state provider, Audra still works — federal protections apply nationwide.
If the provider won't budge
File a complaint with the HI Attorney General.
If your appeal letter doesn't resolve the bill within 30 days, escalate to the Hawaii Department of Commerce & Consumer Affairs — Office of Consumer Protection. They have authority to investigate billing complaints and, in some cases, subpoena provider records.
Official complaint portal
Hawaii Department of Commerce & Consumer Affairs — Office of Consumer Protection
cca.hawaii.gov/ocp/Stop paying what you don't owe.
Your first audit is free. After that, $30 per bill, or $15/mo for up to 25 audits/month.
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