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Tools and resources to assist Harvard Pilgrim network providers, including authorization and payment policies, pharmacy, billing and reimbursement, forms, newsletter, quality programs, and more.
Access your secure account. Employer. Enrollment, billing and other transactions. Manage your business. Broker. Quoting, renewals, commissions and more. Use our broker tools. Provider. Check eligibility, request authorization and more. Log in to your account. Not sure where to start? Let our website put you on the right path. Visit our website.
Our e-transaction services, including our online portal HPHConnect, make it easy for providers to do business with us. Learn about performing a variety of transactions (elibility, claim submission and status, referrals, authorization, etc.), receiving electornic payment, and accessing reports through our web tools.
To minimize impact on you, we are performing this scheduled maintenance on Harvard Pilgrim Health Care provider website (www.harvardpilgrim.org/provider) and our secure portal HPHConnect on the weekends.
Harvard Pilgrim offers guidance, information, and resources to help ensure you receive timely, accurate reimbursement, including payment, claims, and appeals policies, forms, account reconciliation information, and electronic payment information.
We recommend using our portal, HPHConnect, to send or receive specialty referrals, submit authorization requests, and conduct other transactions — and you can easily register or login to HPHConnect below.
Welcome to Harvard Pilgrim's Provider Portal! Quick and easy access to. View member eligibility; View and submit referrals; View claims; View other participating providers; Create and manage Users
Access patient eligibility and benefits information using HPI's secure portal for providers, including the status of your submitted and processed claims.
We developed a new, short video to guide providers who are new to our Harvard Pilgrim network in navigating our online provider portal, HPHConnect, for electronic claims submission. This video walks you through submitting a claim on HPHConnect, step-by-step.
Harvard Pilgrim is making an update to the electronic prior authorization request submission process in HPHConnect, our online provider portal, which will take effect Nov. 1, 2024.