Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
HPHConnect
Pharmacy
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Newsroom
Office Support
Products
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size

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.

Email this article to a colleague   


Network Matters Archives

Download printer-friendly version

HPHCURRENT EVENTS

Harvard Pilgrim Selects MedImpact Direct as New Mail-Order Pharmacy

New Sleep Program Reminder and FAQ

Institute Study: Sugary Beverages During Pregnancy Could Contribute to Childhood Obesity

Success at BMC’s Inaugural Boston Trans Health Institute

CLINICIAN CORNER

New Extended Care Facility Prior Authorization Request Form

Updates to Capsule Endoscopy Medical Policy

Billing for Services for Multiple-Gestation Pregnancies

OFFICE ASSISTANT

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

Harvard Pilgrim 270/271 Eligibility Response Enhancements

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Senior Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator