Contact Us
Email: info@hpsm.org
Phone: 650-616-0050 TTY: 1-800-735-2929 or dial 7-1-1
Fax: 650-616-0060
For the safety all HPSM members and employees, and to comply with public health guidelines, HPSM will no longer host in-person meetings at our offices during the COVID-19 pandemic. However, HPSM is committed to serving your needs during this crisis.
CareAdvantage Unit
Toll free: 1-866-880-0606
Local: 650-616-2174
TTY: 1-800-735-2929 or dial 7-1-1
Monday–Sunday 8:00 a.m. to 8:00 p.m.
Email: CustomerSupport@hpsm.org
Member Services
Toll free: 1-800-750-4776
Local: 650-616-2133
TTY: 1-800-735-2929 or dial 7-1-1
Monday–Friday 8:00 a.m. to 6:00 p.m.
Email: CustomerSupport@hpsm.org
Claims Services
Medical and dental claims: 650-616-2106
Monday, Tuesday, Thursday & Friday 8:00 a.m. to 5:00 p.m. (closed 12:00 p.m. to 1:00 p.m.)
Wednesday – 8:00 a.m. to 12:00 p.m.
Email ClaimsInquiries@hpsm.org.
Email confirmation sent by next business day
Grievance and Appeals Unit
Toll free: 1-888-576-7227
Local: 650-616-2850
Fax 650-829-2002
Monday–Friday 8:00 a.m. to 5:00 p.m.
HPSM Pharmacy Unit
24/7 Pharmacy Help Desk: 888-635-8362
Pharmacy Services: 650-616-2088
Email: PharmacyUnit@hpsm.org
Office hours: Monday - Friday, 8:00 a.m. to 5:00 p.m.
Pharmacy Authorization Fax Numbers
Prescription drug prior authorization: | 650-829-2045 |
Synagis authorization: | 650-829-2045 |
Incontinence supply authorization: | 650-829-2079 |
Provider Services
Toll free: 1-833-694-7761 Local: 650-616-2106
Fax: 650-616-8046
Monday 1:00 p.m. to 5:00 p.m. Tuesday–Friday 8:00 a.m. to 5:00 p.m.
Email: psinquiries@hpsm.org
Authorization Fax Numbers
HPSM has several direct fax lines dedicated to specific form submissions:
|
In-patient admissions with facesheet for all lines of business (including in-patient retros and corrections): |
650-829-2060 |
|
In-patient admissions, clinicals only (without facesheet) |
650-829-2068 |
|
Out-patient retro authorizations and corrections |
650-829-2079 |
|
PCP referrals for Behavioral Health and Recovery Services |
650-596-8065 |
|
Pharmacy authorizations and modifications to formulary |
650-829-2045 |
|
CBAS and MSSP referrals, Care Coordination |
650-829-2047 |
When including clinicals:
- Place the facesheet before any clinical information
- Do not submit observation requests: observation status is direct billable
- Do not submit requests for services delivered in the emergency room: these are direct billable
Referral Authorization Fax Numbers
Out-patient referral: | 650-829-2079 |
Behavioral Health and Recovery Services referral: | 650-596-8065 |
CBAS and MSSP referral: | 650-829-2047 |
Care Coordination referral: | 650-829-2047 |