Provider Portal 

Provider Portal

  • Verify members’ eligibility
  • Check claims payment
  • Submit prior authorization requests and check request status
  • Sign up for and update Electronic Funds Transfer/Electronic Remittance Advice (EFT/ERA)
  • Existing users login here
  • New user? Register here or by calling 650-616-2106.

Submit claims online

  • Submit CMS-1500 format claims online here
  • New user? Register here to submit online CMS-1500 format claims
  • Please note: HPSM currently accepts electronic claims from two different clearinghouses, Office Ally (Payer ID: HPSM1) and Change Healthcare (Payer ID: SX174 for 837 professional & 12X74 for 837 Institutional).

eReports

  • Remittance advices
  • PCP and Nursing Facility Value-Based Payment Program reports
  • Personalized patient engagement data for PCPs
  • Primary care panel assignment and capitation reports
    • Existing users login here
    • New user? Sign up for eReports by calling 650-616-2106

Update My Information

Use this form to verify that your information in HPSM's provider directory is correct, or to submit a change to your directory information.


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