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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

August 2017

Reminder: Use our Dedicated StrideSM (HMO) Medicare Advantage Resources

Looking for information to support your Harvard Pilgrim StrideSM (HMO) Medicare Advantage member? You will find the resources you need in the Stride section of our provider website, including links to the following:

  • Medicare Advantage Provider Portal — An easy-to-use online tool that supports a full range of transactions including tracking claims, verifying patient eligibility, reviewing the status of authorization requests, and more. To register for the Medicare Advantage Provider Portal, please see the instructions on our website and complete this Registration form.
  • Quick Reference Guide — A handy one-page sheet that includes tips on recognizing members and verifying eligibility, requesting authorizations, and submitting claims, as well as key contact information.
  • Prior Authorization and Referral Chart — Information on services that require referral or prior authorization, as well as links to prior authorization forms.
  • Medicare Advantage Provider Manual — The most up-to-date reference for participating providers, with information on Harvard Pilgrim Stride (HMO) policies and procedures.
  • Forms — Forms required for authorization, referral, and appeals.

Please keep in mind that these resources are geared specifically for supporting our Stride (HMO) Medicare Advantage members. Use these tools and resources — including the dedicated Medicare Advantage Provider Portal — when providing services to our Stride members.

Harvard Pilgrim’s other e-business tools, such as HPHConnect and NEHEN, may be used when providing service to members of our commercial products, Medicare Enhance, and Medicare Supplement senior plans, but do not include information for the Stride products and membership.

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Reminder: Use our Dedicated StrideSM (HMO) Medicare Advantage Resources

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Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Senior Vice President, Network Services

Annmarie Dadoly,

Joseph O'Riordan,

Kristin Edmonston,
Production Coordinator