Get Help with Claims

Claims coding and submission guidelines

Claims news & updates

Get paid faster

EFT and ERA are fast, secure and more accurate than paper checks

Sign up for EFT/ERA

  • 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 fee-for-service Pay for Performance program offers bonus payments to Medi-Cal 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.