How do I access the Harvard Pilgrim Provider login page to manage my Pilgrim account?

HPHConnect is a secure online portal specific to Harvard Pilgrim providers, enabling them to manage claims, referrals, authorizations, and more.

Providers can check eligibility, referrals, claims, and prior authorization status by logging into the Harvard Pilgrim website.

To register or log in to HPHConnect, providers need their Harvard Pilgrim provider ID and NPI.

Harvard Pilgrim Health Care offers a Commercial Provider Manual, which includes information on the Commercial products, programs, policies, and procedures for providers.

The Harvard Pilgrim provider login page provides access to the Referral Form, which can be submitted via HPHConnect, fax, or mail.

The Prior Authorization for Care section of the website outlines the criteria used for reviewing prior authorization requests.

Under most Harvard Pilgrim plans, prior authorization is required for elective referrals to noncontracted providers.

The Access to Care section of the Provider Manual includes information on advance directive, care delivery programs, continuity of care, terminated provider accessibility, and after-hours services.

The Harvard Pilgrim Health Care Provider Manual D117, October 2015, provides detailed information on network management, quality, and COVID-19 updates.

Providers can also submit information via HPHConnect, Nehen NehenNet, or by completing and faxing the paper form to 800-232-0816.

The 2024 Home Care Seasonal Flu Vaccine Fee Schedule for Harvard Pilgrim Health Care Commercial products will be updated on August 1, 2024.

Providers can submit electronic claims (837) for Harvard Pilgrim Health Care Stride SM Medicare Advantage members through Availity.

The Harvard Pilgrim Health Carex27s Commercial products, programs, policies, and procedures for providers are subject to updates; staying informed on changes is essential for accurate claim submission and reimbursement.

The Harvard Pilgrim provider login page and HPHConnect offer educational resources and newsletters to help providers stay informed on changes and updates.

Providers can find answers to frequently asked questions regarding the Activity Summary on the Harvard Pilgrim Health Care member login page.

To find a Primary Care Physician or other providers in the HMO plan, providers can visit the Harvard Pilgrim home page, wwwharvardpilgrimorg, or contact Harvard Pilgrim at 1-866-623-0184.

The 2023 HPHC HMO Schedule of Benefits and the 2023 HPHC HMO Benefits Handbook are available for download on the Harvard Pilgrim Health Care member login page.