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).

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.

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.


Need Help?

If you have questions or need assistance with HPSM's online tools, please call 650-616-2106 or email ClaimsInquiries@hpsm.org.