Get Help with Claims
Claims coding and submission guidelines
Claims Submission CMS UB-04
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Claims Submission CMS1500
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Claims news & updates
Get paid faster
EFT and ERA are fast, secure and more accurate than paper checks
- Electronic Funds Transfer (EFT) sends claims payments directly to your bank account
- Electronic Remittance Advice (ERA) makes it easier to access and reconcile payment information
To get started, download the ERA/EFT Authorization Form
Contracted providers get better rates
- Our Value Based Payment Program offers bonus payments to providers for meeting targeted quality measures
- Our Specialists Incentive Program pays 175% of Medi-Cal allowable rates to PCPs with certain Medi-Cal specialties
- Our CareAdvantage reimbursement rates start at 80% of the Medicare fee schedule plus 10% of the Medi-Cal fee schedule – with no annual deductibles for claim payments
HPSM is especially looking to recruit clinicians and office staff who speak Spanish, Tagalog, Mandarin and Cantonese.