Behavioral health

Our provider portals enable you to perform transactions — from verifying eligibility to submitting claims, making a referral to checking the status of a prior authorization, and more — 24/7, quickly and easily.

For Harvard Pilgrim Health Care members, visit the HPHConnect portal and refer to the ebusiness page of our Harvard PIlgrim Health Care provider website for additional information.

For Tufts Health Plan members, visit the Tufts Health Plan portal and refer to electronic services page of our Tufts Health Plan provider website for additional information.

You’ll also find helpful user guides in the Provider Training Guides section of this site.

For Harvard Pilgrim Health Care commercial members

Harvard Pilgrim’s electronic payer ID number is 04271. These resources provide step-by-step instructions for submitting claims electronically in Harvard Pilgrim Health Care’s secure portal HPHConnect: Professional Claims Submission Guide and our new short video. Refer to them at your convenience!

To submit claims by paper, please mail them to:

Harvard Pilgrim Health Care
P.O. Box 699183
Quincy, MA 02269-9183

Getting started with submitting claims to Harvard Pilgrim Health Care via HPHConnect? Check out our new short video guiding you step-by-step through the process or refer to Harvard Pilgrim Health Care’s Professional Claims Submission Guide. For additional guidance, join one of our Behavioral Health Trainings, refer to the HPHConnect User Guides, or view our other quick training videos at your convenience!

For Harvard Pilgrim Health Care Stride^SM Medicare Advantage members

Please submit behavioral health claims for members of this Medicare Advantage plan to UBH Claims, PO Box 30602, Salt Lake City, UT 84130-0602. Payer ID is 87726

For Tufts Health Plan members

Tufts Health Plan’s electronic payer ID number is 04298. Mailing addresses for paper claims submission are as follows:

• Commercial plans: Tufts Health Plan, P.O. Box 178, Canton, MA 02021-0178
• Senior products: Tufts Health Plan, P.O. Box 518, Canton, MA 02021-0518
• Public plans: Tufts Health Plan, P.O. Box 189, Canton, MA 02021-0189

• Payment policies
• Medical necessity guidelines
• Medical drug medical necessity guidelines
• Pharmacy information
• Provider Manuals
• Forms
• Behavioral Health Prior Authorization and Notification Grids for the following products: Tufts Health Together and Tufts Health Direct, Tufts Health One Care and Tufts Health RITogether

Point32Health maintains performance specifications for a variety of behavioral health services. Providers contracted for this level of care or service are expected to comply with all requirements of these service-specific performance specifications. Refer to the Performance Specifications page for more information.

• Behavioral Health (BH) Screening for Adolescent (Ages 12-21) Members Frequently Asked Questions (FAQ)
  Behavioral Health Tufts Health Direct
• Behavioral Health (BH) Screening for Adolescent (Ages 12-21) Members Frequently Asked Questions (FAQ)
  Behavioral Health RITogether
• Behavioral Health (BH) Screening for Adolescent (Ages 12-21) Members Frequently Asked Questions (FAQ)
  Behavioral Health Tufts Health Together
• Depression Screening Tools
  Commercial products, Tufts Health Public Plans

• Acute Stress Disorder and Guideline Watch (APA)
• Attention Deficit/Hyperactivity Disorder (AAP)
• Bipolar Disorder and Guideline Watch (APA)
• Depression (APA)
• A Guide for Treating Depression in the Primary Care Setting
• Eating Disorders and Guideline Watch (APA)
• Panic Disorder (APA)
• Schizophrenia and Guideline Watch (APA)
• Substance Abuse and Guideline Watch (APA)
• The Parent/Professional Advocacy League (PPAL): dedicated to improving the behavioral health and well-being of children and families through education and advocacy.

Learn more about this Massachusetts program to enhance behavioral health for MassHealth members under the age of 21. Priorities include increasing timely access to appropriate services, supporting children with home- and community-based behavioral health services, reducing health disparities, and better integrating behavioral health care. Explore more information on CBHI.

There you’ll find information on a variety of programs and resources, including MassHealth’s Medical Necessity Criteria and Training Services for Family Support and Training Services, In-Home Therapy Services, In-Home Behavioral Services, Mobile Crisis Intervention, and Target Case Management: Intensive Care Coordination.