Health Plan of San Mateo

Summary

Health Plan of San Mateo is a dental and medical payer operating in California. Claims route under payer ID HPSM1, with 7 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

HPSM1Also seen as 10362, 12X74, 4292, 5678, HPOSM, HPSM1MA and 1 more

Also known as

Care Advantage, HPSM

Service area

CA

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Health Plan of San Mateo?

The payer ID for Health Plan of San Mateo is HPSM1. Alternate IDs seen across clearinghouses include 10362, 12X74, 4292, 5678.

Does Health Plan of San Mateo require ERA enrollment?

Yes. Health Plan of San Mateo requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Health Plan of San Mateo cover?

Health Plan of San Mateo operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Health Plan of San Mateo offer?

Health Plan of San Mateo covers dental and medical.

Can I submit claims to Health Plan of San Mateo electronically?

Yes. Health Plan of San Mateo is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).