Provider Learning Lab

Partnering with providers to give our members high-quality service is one of HPSM’s top priorities. As your partner in care, we strive to create processes and requirements that are easy for providers to understand and follow. 

The training resources on this page will help you get the information and support you need quickly. If you have questions about them or suggestions for additional training modules, please email Provider Services.

Learning resources

Provider Onboarding

New to HPSM? These resources are here to welcome you to the network and to set you up for success.

Authorizations

Learn how to submit a prior authorization request form – a requirement before providing some treatments or medications for HPSM members.

Electronic Funds Transfer

HPSM wants to make sure you are reimbursed quickly and accurately so we use EFT to pay claims. Learn how to sign up here.

Eligibility

Here are resources on how to check a member’s eligibility using our portals.

Interpreter Services

HPSM members speak many different languages. Here are resources to help make sure a language barrier does not stop you from delivering excellent care.

Nursing Facilities

Resources for in-network nursing facilities participating in our quality payment program.

Provider Manual

This manual contains policies and procedures relevant to providers that are contracted with HPSM.

Provider Portals

HPSM’s Provider Portals are user-friendly and have many great features, including claim and authorization status lookup. Learn more about our portals here.

Quality Improvement

Training topics that are required for HPSM providers to ensure high-quality care for our members.

Reopen Your Practice

How to carefully reopen your practice during the global health crisis, and other resources.

Value-Based Payment Program

Our value-based payment (VBP) programs offer performance bonus payments to in-network providers for meeting targeted quality measures. Learn more about them here.