We’ve developed HPHConnect user guides and reference materials to give you step-by-step instructions on conducting e-transactions through our secure portal. For further questions about HPHConnect, please call 800-708-4414 or e-mail [email protected].
Account Maintenance Documents
- Account Revalidation
- How to add, delete, or modify users
- Completing Multi-Factor Authentication in HPHConnect
Basic Features
- Verify member eligibility
- Verifying Claims Status and Remittance Advice
- Referral/Auth Transaction Status
- Look Up a Diagnosis or Procedure Code
- Look Up Provider Information
- Performing Referral/Auth Searches User Guide
- Making a PCP Change in HPHConnect
Behavioral Health
Provider Data
Claims Management
- Claims Submission – Professional Claims Submission User Guide
- Document Manager – Submitting HIPAA Compliant Transactions User Guide
Reports
- Member Roster User Guide
- Member Roster Quick Reference Sheet
- Negative Balance Report User Guide
- Non-Utilizer Report User Guide
- Refund Report User Guide
- Transaction Report User Guide
Provider Notifications
Referral, Authorization and Notification Entry Instructions
- Acute Care Hospital Admission User Guide
- Durable Medical Equipment (DME) Quick Reference Sheet
- Habilitative & Rehabilitative Therapies User Guide
- Home Health Care Authorization Request User Guide
- Home Infusion Therapy (How to Submit Additional Information) User Guide
- Hospice – Respite Care User Guide
- Hospice – Respite Care Quick Reference Sheet
- IVIG Services in the Home Quick Reference Sheet
- IVIG Services in Other than the Home Quick Reference Sheet
- Outpatient Advanced Imaging Notification Quick Reference Sheet
- Outpatient Pharmacy Service Transactions Quick Reference Sheet
- Rehabilitation Inpatient Admission Authorization User Guide
- Skilled Nursing Care Inpatient/Long Term Care Admission User Guide
- Submitting Physician Referrals User Guide
- Surgical Day Care Services User Guide
- Transportation—Medical Related Transport User Guide
Secure Provider Portal
- Tufts Health Plan Secure Provider Portal User Guide
- MHK Portal User Guide (Commercial, Tufts Health Public Plans, Tufts Medicare Preferred)
- Claim Status Inquiry
- Eligibility and Benefits Inquiry
- Online Claim Adjustments
- Referral Inquiry
- Referral Submission
- Inpatient Notification Submission and Inquiry
- Prior Authorization Submission and Inquiry
- Senior Access Administrator (SAA) and Access Administrator (AA) Guide to User Management Tools