Provider Portals
HPSM Provider Portal
- 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)
Login to the Provider Portal New user? Sign-up or call 650-616-2106.
Submit claims online
HPSM currently accepts electronic claims from three clearinghouses:
- Office Ally (Payer ID: HPSM1)
- Healthcare (Payer ID: SX174 for 837 professional & 12X74 for 837 Institutional)
- WayStar (Payer ID: HPSM1)
UB04 (Institutional) claims can only be submitted through FTP, Office Ally or Change Healthcare. 1500 claim submissions are accepted through eHealthsuite, Office Ally, or Change Healthcare.
HPSM's online claims platform has been updated. Starting 9/13/26 users will be connected to the new platform. Please save and bookmark this new URL.
eReports
- Remittance advices
- PCP and Nursing Facility Value-Based Payment Program reports
- Personalized patient engagement data for PCPs
- Primary care panel assignment and capitation reports
Login to eReports New user? Sign up for eReports by calling 650-616-2106.
Update your directory information
Use the Provider directory information verification form to change or confirm your information in HPSM's provider directory.
Need assistance?
If you have questions or need help with HPSM's online tools, please contact Claims Services at 650-616-2106 or ClaimsInquiries@hpsm.org. Or watch our video on Signing Up for HPSM's Provider Portal.
If you need to contact one of HPSM's Medical Directors, visit Provider Contacts.