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Claims

eHEALTHsuite

Contact HPSM’s Claims Department for assistance by Email
or by phone: 650-616-2056. Confirmation e-mail delivered within one day.

Hours of Operation:

Monday, Tuesday, Thursday, and Friday: 8:00 a.m. to 5:00 p.m.
Phones closed for lunch: Noon to 1:30 p.m.
Wednesday: 8:00 a.m. to 12:00 p.m.

Please Note:
eHEALTHsuite is not available Thursdays from 6:00 p.m. to 8:00 p.m. due to weekly system maintenance.

Please Note:
eHEALTHsuite is not available Sundays from 9:00 a.m. to 10:00 a.m. due to weekly system maintenance.

For Member Eligibility

Call Provider Services: 650-616-2106

Resources and Tips for Submitting Claims

  • General Tips for Billing
  • Submitting Claims
  • Required Data Items for CMS 1500
  • Required Data Items for UB-04
  • HPSM Explanation Codes for Claims Payment

Provider Dispute Resolution

  • Description of Revised Process
  • Provider Dispute Resolution Request Form
  • Supplemental Form for Multiple Claims

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Provider Services: 650-616-2106
HPSM Main: 650-616-0050
Provider Fax: 650-616-8046
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