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Claim Status

  • Paid…In-process…or Denied—in seconds.
  • Know when your claim has pended or denied and how to quickly resolve it.
  • Send multiple claim inquiries at one time—receive a reply within 30 minutes. 

E-Channel Connectivity

The preferred e-channel connectivity choices for submitting production 276 transactions directly to Harvard Pilgrim include:

  • HPHConnect Document Manager – only batch file transmissions are supported through Document Manager
  • HPHConnect Claim Status Search 
  • EDI-Direct CAQH CORE SOAP – Phase II and Phase IV
  • EDI-Direct CAQH CORE MIME
  • NEHEN
  • NEHENNet

Additional Resources:

To initiate a request to submit eligibility inquiry transactions directly or for other questions:

Call the EDI team at 800-708-4414, option 1, option 3, or email edi_team@hphc.org


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E-Contacts
EDI Team
(800) 708-4414
(Option 1; then
press 3)


HPHConnect
(800) 708-4414
(Option 1; then
press 6)

NEHEN or NEHENNet
781-907-7210
www.nehen.org


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