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Referral/Notification/Authorization

PCPs -  You can:

  • Send referrals to specialists in minutes.
  • Receive notification when your patients are admitted to a hospital or receive certain services.

Specialists - You can:

  • Get immediate, online delivery of referrals, so referrals arrive before you see patients.
  • Know scope of services expected, plus number of visits recommended by a PCP.
  • Get instant, online transaction number from Harvard Pilgrim.

Notification/Authorization - You can:

  • Submit service notifications and requests online. Get instant confirmation of receipt by Harvard Pilgrim.
  • Receive online authorization for elective procedures within 24 hours of receipt of necessary medical information.
  • Verify that Harvard Pilgrim has authorized services before they are rendered.

Questions?

Call 800-708-4414, or e-mail Provider_eBusiness_Services@hphc.org


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E-Contacts
Provider Service Center
(800) 708-4414
(option 1; then option 7)
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