HPHConnect — Harvard Pilgrim’s highly acclaimed Web-based transaction service — gives you access to health plan information and self-service transactions for your Harvard Pilgrim patients, 24/7. HPHConnect is HIPAA-compliant and it’s free. If you don’t currently use HPHConnect, we encourage you to REGISTER TODAY!
For further questions about HPHConnect, please e-mail us at Provider_eBusiness_Services@
point32health.org or call the Provider Service Center at 800-708-4414.
Perform the following transactions online:
- Submit claim batch files (HIPAA 837 Format)
- Single claims direct data submission for professional claims
- Verify patient eligibility
- Find the status of a claim
- Send/receive specialty referrals
- Provide notification
- Submit/receive authorization
- View a patient’s personal health record (PHR)
Access news, information, and reports:
- Provider Manual, Insights and Updates for Providers, and Provider Directory
- Code auditing reference tool (CMS-1500 Claims)
- Drug formulary and pharmacy programs
- Diagnosis, procedure, and revenue codes
- PCP membership reports
- Claims reports
User guides
Our user guides offer step-by-step guidance on a variety of common transactions, including account maintenance, performing referral and authorization transactions, downloading reports, and more.
Handy FAQ
Have a question about HPHConnect? We’re here to help! Our in-depth FAQ covers common questions about account set up and access, user roles, account management, referral and authorization, security, and more.