Provider Contacts

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

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

Pharmacy Unit

Call 650-616-2088

Email: PharmacyUnit@hpsm.org

Pharmacy Authorization Fax Numbers

Prescription drug prior authorization:

650-829-2045

Synagis authorization:

650-829-2045

Incontinence supply authorization:

650-829-2079