- Verify members’ eligibility
- Check claims payment
- Submit prior authorization requests and check request status
- Sign up for and update Electronic Funds Transfer/Electronic Remittance Advice (EFT/ERA)
Submit claims online
- Submit CMS-1500 format claims online here
- New user? Register here to submit online CMS-1500 format claims
- Please note: HPSM currently accepts electronic claims from two different clearinghouses, Office Ally (Payer ID: HPSM1) and Change Healthcare (Payer ID: SX174 for 837 professional & 12X74 for 837 Institutional).
- Remittance advices
- PCP and Nursing Facility Value-Based Payment Program reports
- Personalized patient engagement data for PCPs
- Primary care panel assignment and capitation reports
- Existing users login here
- New user? Sign up for eReports by calling 650-616-2106
Update My Information
Use this form to verify that your information in HPSM's provider directory is correct, or to submit a change to your directory information.
If you have questions or need assistance with HPSM's online tools, please call 650-616-2106 or email ClaimsInquiries@hpsm.org.