- Check claims payment status and authorization request status:
- Verify members’ eligibility
- 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).
- Remittance advices
- PCP and Nursing Facility Value-Based Payment Program reports
- Personalized patient engagement data for PCPs
- Primary care panel assignment and capitation reports
Still have questions about using HPSM's online provider tools?
Call 650-616-2106 or email ClaimsInquiries@hpsm.org for help with account set up, or to request a training.