Contact Us

Email: info@hpsm.org

Phone: 650-616-0050 TTY: 1-800-735-2929 or dial 7-1-1

Fax: 650-616-0060

For the safety all HPSM members and employees, and to comply with public health guidelines, HPSM will no longer host in-person meetings at our offices during the COVID-19 pandemic. However, HPSM is committed to serving your needs during this crisis. 

 

CareAdvantage Unit

Toll free: 1-866-880-0606 Local: 650-616-2174
TTY: 1-800-735-2929 or dial 7-1-1

Call center hours: Monday–Sunday 8:00 a.m. to 8:00 p.m.

Email: CustomerSupport@hpsm.org

Claims Services

Call 650-616-2056

Monday, Tuesday, Thursday & Friday – 8:00 a.m. to 5:00 p.m. (closed 12:00 p.m. to 1:00 p.m.)

Wednesday – 8:00 a.m. to 12:00 p.m.

Email ClaimsInquiries@hpsm.org
Email confirmation sent by next business day

Grievance and Appeals Unit

Toll free: 1-888-576-7227
Local: 650-616-2850
Fax 650-829-2002

Monday–Friday 8:00 a.m. to 5:00 p.m.

Health Education

Call 650-616-2165

Email: HealthEducationRequest@hpsm.org

Marketing and Communications

Call 650-616-1515

Email: Marketing@hpsm.org

Member Services

Toll free: 1-800-750-4776
Local: 650-616-2133
TTY: 1-800-735-2929 or dial 7-1-1

Monday–Friday 8:00 a.m. to 6:00 p.m.
Email: CustomerSupport@hpsm.org

HPSM Pharmacy Unit

24/7 Pharmacy Help Desk: 888-635-8362

Pharmacy Services: 650-616-2088
Email: PharmacyUnit@hpsm.org
Office hours: Monday - Friday, 8:00 a.m. to 5:00 p.m.

Pharmacy Authorization Fax Numbers

Prescription drug prior authorization:

650-829-2045

Synagis authorization:

650-829-2045

Incontinence supply authorization:

650-829-2079

Provider Services

Toll free: 1-833-694-7761 Local: 650-616-2106

Fax: 650-616-8046

Monday 1:00 p.m. to 5:00 p.m. Tuesday–Friday 8:00 a.m. to 5:00 p.m.

Email: psinquiries@hpsm.org

Authorization Fax Numbers

HPSM has several direct fax lines dedicated to specific form submissions:

In-patient admissions with facesheet for all lines of business (including in-patient retros and corrections): 

650-829-2060

In-patient admissions, clinicals only (without facesheet)

650-829-2068

Out-patient retro authorizations and corrections

650-829-2062

PCP referrals for Behavioral Health and Recovery Services

650-596-8065

Pharmacy authorizations and modifications to formulary

650-829-2045

CBAS and MSSP referrals, Care Coordination

650-829-2047

When including clinicals:
  • Place the facesheet before any clinical information
  • Do not submit observation requests: observation status is direct billable
  • Do not submit requests for services delivered in the emergency room: these are direct billable

Referral Authorization Fax Numbers

Out-patient referral:

650-829-2079

Behavioral Health and Recovery Services referral:

650-596-8065

CBAS and MSSP referral:

650-829-2047

Care Coordination referral:

650-829-2047