Provider Portal/eReports

Provider Portal

  • Check claims payment status and authorization request status:
    • Existing users login here
    • New user? Register here or by calling 650-616-2106.
  • 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).

Provider Portal Login

 

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 registering here.

eReports Portal Login

 

 

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.