provider page

Sign up for electronic payments

Get paid faster

EFT and ERA are fast, secure and more accurate than paper checks

Sign up for EFT/ERA

  • 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

Contracted providers get better rates

  • Our Value Based Payment Program offers bonus payments to providers for meeting targeted quality measures
  • Our Specialists Incentive Program pays 175% of Medi-Cal allowable rates to PCPs with certain Medi-Cal specialties
  • Our CareAdvantage reimbursement rates start at 80% of the Medicare fee schedule plus 10% of the Medi-Cal fee schedule – with no annual deductibles for claim payments

HPSM is especially looking to recruit clinicians and office staff who speak Spanish, Tagalog, Mandarin and Cantonese.

Value Based Payment Program

HPSM's Value Based Payment Program offers performance bonus payments to in-network Medi-Cal providers for meeting targeted quality measures. The program is designed to improve outcomes for HPSM members by sharing data with HPSM providers on care information for their assigned HPSM patients. The targeted quality performance measure set focuses on member access and preventive care services. Learn more

Claims Services

Call 650-616-2056

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

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