Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
E-Channels/ Technology Partners
NEHENNet
Companion Guides
Eligibility
Referral/Notification/Authorization
Claims Submission
Claim Status
Remittance Advice
Electronic Funds Transfer (EFT)
HPHConnect
Pharmacy
For Your Patient
News Center
Office Support
Products
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size
Claims Submission
  • Submit HIPAA-compliant Professional (837P) claims and Institutional (837I) claims directly to Harvard Pilgrim using any of our preferred e-channels (see list below)
  • In addition to the preferred e-channels, Harvard Pilgrim accepts electronic claim submissions from clearinghouses, billing services, and other intermediaries

E-Channel Connectivity

The preferred e-channel connectivity choices for submitting HIPAA-compliant Professional and Institutional claims directly to Harvard Pilgrim include:

  • HPHConnect Document Manager for batch professional or institutional claim files
  • HPHConnect Direct Data Entry for medical professionals (CMS-1500) claims only.
  • EDI-Direct SFTP (Secure File Transfer Protocol)
  • EDI-Direct CAQH CORE IV SOAP
  • 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

 


Acrobat Reader *Acrobat Reader required to view PDF files. Download latest version free.

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


Resource:

System Security: Information on Updating Your Browser