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
Please note: HPSM currently accepts electronic claims from three clearinghouses: Office Ally (Payer ID: HPSM1), Change Healthcare (Payer ID: SX174 for 837 professional & 12X74 for 837 Institutional), and WayStar (Payer ID: HPSM1). UB04 (Institutional) claims can only be submitted through FTP, Office Ally or Change Healthcare. 1500 claim submissions are accepted through eHealthsuite, Office Ally, or Change Healthcare.
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.
Need Help?
- If you have questions or need assistance with HPSM's online tools, please contact Claims Services at 650-616-2106 or ClaimsInquiries@hpsm.org. Or watch our video on Signing Up for HPSM's Provider Portal.
- If you need to contact one of HPSM's Medical Directors, visit Provider Contacts.