Get Help with Claims
Claims Coding and Submission Guidelines
ADA Dental Claim Form 2019 Version (1064 KB)
Claims Submission CMS UB-04 (35 KB)
Claims Submission CMS1500 (37 KB)
Claims News & Updates
Sign up for Electronic Funds Transfer/Electronic Remittance Advice
EFT and ERA are fast, secure and more accurate than paper checks.
- Electronic Funds Transfer (EFT) sends claims payments directly to your bank account
- Electronic Remittance Advice (ERA) makes it easier to access and reconcile payment information
To get started, download the ERA/EFT Authorization Form
HPSM is especially looking to recruit clinicians and office staff who speak Spanish, Tagalog, Mandarin and Cantonese.