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Section 1: About HPSM
Section 2: Customer Support
Section 3: Member Complaints
Section 4: Claims
Section 5: Provider Disputes
Section 6: Ancillary Services
Section 7: Utilization Management
Section 8: Provider Services
Section 9: Quality Improvement
Section 10: Health Education
Section 11: Fraud Waste and Abuse
Section 12: Privacy
Clinical Guidelines
Cultural Competency
Get a Phone or Video Interpreter
Get Translated Member Materials
Language Documentation Requirements
Health Literacy
Language Training & Resources
Provider Language Assistance Checklist
Tips for Supporting LGBTQIA+ Patients
Interpreter Services Request
Provider Forms
Directory Search
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Diabetes Prevention Program
End of Life Care
Grievance & Appeals Process
Healthcare Effectiveness Data and Information Set
Home Health Care
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Maternal Care
Medical Record and Facility Site Reviews
Member Handbooks
HEALTHmatters MD
Pediatric Care
Potential Quality Issues
Urgent Care
Tobacco Cessation Information and Resources
Identifying Tobacco Users
Treating Patients Who Use Tobacco
Vulnerable Populations
Provider Education and Trainings
Older Adults and People with Disabilities
Provider Videos
Remote Patient Monitoring
Incentive Payments for Primary Care Providers
Incentive Payments for Nursing Facilities
Incentive Payments for Specialists
Learning Lab
Join HPSM Dental
Dental Provider Payments
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Benefits of Dental Integration
HPSM Dental Mission
An Innovative Pilot Program
Patient Experience
CalAIM at HPSM
Urgent Messages
News & Updates
Provider Portal / eReports
Join Our Provider Network
Provider Contacts
All Provider Tasks
Question about a claim?
Claims Services
Medical and dental claims: 650-616-2106
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
Member Eligibility
To check a member’s PCP assignment, and verify eligibility, providers should call HPSM’s 24-hour Automated Eligibility Verification System (AEVS) at 1-800-696-4776 and follow the automated instructions.
Member eligibility can also be checked via HPSM’s Provider Portal once a User ID and Password have been established. Please call 650-616-2106 for assistance.