Welcome Providers
Resources and information for providers and office staff
Welcome Providers
Resources and information for providers and office staff
Policies, Manuals & Forms
Behavioral health
Training
News Insights and Updates for Providers - September 2025
Update on medical record review programs
Point32Health will begin to utilize Optum to assist in claims auditing review for additional lines of business, effective Nov. 1, 2025.
New laboratory Payment Policies
We are implementing a new laboratory benefit management program for Harvard Pilgrim Health Care Commercial products, effective for dates of service beginning Nov. 1, 2025.
Reminder for SNFs: Submit SC-1 forms
SNFs: submit a Status Change Form (SC-1) promptly to MassHealth and Tufts Health Plan when a SCO or One Care member is admitted for a stay of two months or longer.
Electronic Tools and Resources
Our electronic transaction capabilities make doing business with us quick and efficient. Explore our electronic services and learn about our secure portal capabilities for:
Join the network
We invite you to join us in ensuring that our communities have access to high-quality, equitable health care by becoming a participating provider.
Our plans
Learn more about the diverse range of health plans we offer under our legacy brands, Harvard Pilgrim Health Care and Tufts Health Plan.
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Short video: Checking referrals, notifications, and authorizations in HPHConnect
We’ll show you how to use the Harvard Pilgrim Health Care secure portal, HPHConnect, to check the status of a referral, notification, or authorizaton request. The video shares step-by-step instructions and time-saving tips.