Provider Learning Lab
Partnering with providers to give our members high-quality service is one of HPSM’s top priorities. As your partner in care, we strive to create processes and requirements that are easy for providers to understand and follow.
The training resources on this page will help you get the information and support you need quickly. If you have questions about them or suggestions for additional training modules, please email Provider Services.
Learning resources
- Provider Onboarding
- Authorizations
- Behavioral Health
- Black History Month
- Claims
- Clinical Guidelines
- Cultural Competency
- Electronic Funds Transfer
- Eligibility
- Home Health Care Providers
- Interpreter Services
- Nursing Facilities
- Provider Manual
- Provider Portals
- Quality Improvement
- Reopen Your Practice
- Value-Based Payment Program
Provider Onboarding
New to HPSM? These resources are here to welcome you to the network and to set you up for success.
Provider Onboarding Video Series:
- Video #1: Welcome to HPSM
- Video #2: Getting Started
- Video #3: Authorizations
- Video #4: Billing, Claims and Finance
- Video #5: Rights and Responsibilities
- Video #6: Caring For Our Members
Download the new provider regulatory presentation
Authorizations
Learn how to submit a prior authorization request form – a requirement before providing some treatments or medications for HPSM members.
Behavioral Health
Resources for our behavioral health providers.
Black History Month
Learn how you can improve health outcomes for Black and African American patients.
Claims
What does it take to submit a claim correctly? Check out our resources here.
Cultural Competency
Webinar recordings to help providers learn more about HPSM's diverse member populations.
Clinical Guidelines
Learn more about HPSM evidence-based recommendations for optimizing patient care.
Electronic Funds Transfer
HPSM wants to make sure you are reimbursed quickly and accurately so we use EFT to pay claims. Learn how to sign up here.
Eligibility
Learn how to check a member’s eligibility using our portals.
Home Health Care Providers
Resources for providers delivering home health care services for HPSM members.
Interpreter Services
Resources to help make sure a language barrier does not stop you from delivering excellent care.
Nursing Facilities
Resources for in-network nursing facilities participating in our quality payment program.
Provider Manual
This manual contains policies and procedures relevant to providers that are contracted with HPSM.
Provider Portals
HPSM’s Provider Portals are user-friendly and have many great features, including claim and authorization status lookup. Learn more about our portals here.
Quality Improvement
Training topics that are required for HPSM providers to ensure high-quality care for our members.
Reopen Your Practice
How to carefully reopen your practice during the global health crisis, and other resources.
Value-Based Payment Program
Our value-based payment (VBP) programs offer performance bonus payments to in-network providers for meeting targeted quality measures. Learn more about them here.