HPHConnect Provider Enrollment Form

You are a provider organization currently contracted to participate in Harvard Pilgrim's network and are registering for a new portal account.

You are a non-contracted or out of area provider organization registering for a new portal account.

You are a provider organization that has an existing HPHConnect account, and are looking to update the provider data you have access to (Add new or missing provider TIN, NPI, etc).

You are a Billing Agency or 3rd Party Representative registering for a new portal account.

You are a Billing Agency or 3rd Party Representative that has an existing HPHConnect account, and are looking to add access to a new provider client's data.