Back to Insights and Updates for ProvidersMarch 2024

User role names change in HPHConnect

Harvard Pilgrim Health Care

We’re updating some of the user roles in HPHConnect to enhance the experience for users of our secure portal. These naming convention changes are aimed at helping providers and office staff better understand the roles associated with their HPHConnect account, and won’t affect your functionality.

Beginning March 6, you’ll notice the following user roles:

  • Main Office Contact (formerly Office Manager): The main office contact has access to all administrative functions including checking claims and referral/authorization status, verifying member eligibility, and submitting claims and referral/authorization transactions. Typically, a practice may designate an office manager, practice administrator, site administrator or group administration for this role.
  • Clinician Designee Main Office Contact (formerly Clinician Designee Office Manager): This role is appropriate for medical professionals (such as nurses, nurse case managers, medical assistants, etc.) who require access to a member’s medication history and personal health record (if the member has granted permission). In addition to providing access to this information, the user can perform the general functions noted above (checking claims and referral/authorization status, verifying member eligibility, and submitting claims and referral/authorization transactions).
  • Provider (a newly created role): This role is appropriate for care providers who do not prescribe medications. These users have access to all administrative functions including checking claims and referral/authorization status, verifying member eligibility, and submitting claims and referral/authorization transactions. However, they do not have access to the prescription data or personal health record in the portal.

For additional information, please refer to the updated HPHConnect User Role Information policy in the eServices & Online Solutions section of Harvard Pilgrim’s Commercial Provider Manual; the How to Add Delete and Modify Users user guide, and the User Role Update Form.


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