Provider Portal / eReports

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.