Providers
Prior Authorizations
Claims
HPSM Dental Providers
Submit Claims
Rebill, Correct or Update Claims
Submit a Claims Dispute or Appeal
Get Paid Faster with EFT/ERA
Contact Claims Services
Provider Resources
Provider Manual
Care Coordination
Value Based Payment Program
Learning Lab
Section 1: About HPSM
Section 2: Customer Support
Section 3: Member Complaints
Section 4: Claims
Section 5: Provider Disputes
Section 6: Ancillary Services
Section 7: Utilization Management
Section 8: Provider Services
Section 9: Quality Improvement
Section 10: Health Education
Section 11: Fraud Waste and Abuse
Section 12: Privacy
Clinical Guidelines
Language Assistance Services
Cultural Competency
Get a Phone or Video Interpreter
Get Translated Member Materials
Health Literacy
Language Documentation Requirements
Language Training & Resources
Provider Language Assistance Checklist
Provider Forms
Directory Search
Formulary Search
Member Handbooks
Newsletters
Maternal Care
Pediatric Care
Urgent Care
End of Life Care
Diabetes Prevention Program
Seniors and Persons with Disabilities
Initial Health Assessment
Tobacco Prevention and Cessation Services
Healthcare Effectiveness Data and Information Set
Potential Quality Issues
Medical Record and Facility Site Reviews
Grievance & Appeals Process
Join HPSM Dental
Dental Provider Payments
Covered Dental Services
Benefits of Dental Integration
HPSM Dental Mission
An Innovative Pilot Program
Behavioral Health
News & Updates
Provider Portal / eReports
CalAIM at HPSM
Provider Contacts
All Provider Tasks
Program Guidelines Feedback Form
Please provide your questions and/or comments on the program guidelines.