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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

Get Help with Claims

Submit Claims
Update a Claim
Dispute a Claim
Contact 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 and Encounter Data Submission (58 KB)

Claims News & Updates
Pay for Performance 2019 Data Attestations May 7, 2020
Cost sharing waiver for COVID-19 testing and treatment May 6, 2020
Authorizations and Claims Submission for NEMT Apr 29, 2020
Hospice billing reminder - revenue codes Jul 12, 2019
Notice of modifier requirements for ambulance trips Jun 19, 2019
P4P billing rates and procedure code corrections Mar 16, 2018
Changes for designated Pay for Performance measures Mar 16, 2018
Retro authorization policy Feb 27, 2018
AIDS waiver program Feb 1, 2018

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

Log into HPSM's Provider Portal to sign up for EFT/ERA

Need additional support?

Watch Signing Up For HPSM's Provider Portal

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Contact psinquiries@hpsm.org with any questions.