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E-Transaction Schedules

Harvard Pilgrim has weekly routine downtime scheduled to support maintenance and enhancement development for 270/271 eligibility EDI transactions, and 276/277 claims status inquiry. Non-routine downtime will be communicated to trading partners by e-mail at least
one (1) week in advance of non-routine downtime. Emergency unscheduled downtime will be communicated to trading partners by e-mail within one (1) hour following the determination that emergency downtime
is needed.

270/271 Eligibility Transactions
276/277 Claims Status Transactions
278 Referral Authorization Transactions

270/271 Eligibility
EDI Transaction Schedule
Availability

Daily

M T W T F S S
24 hours¹ X X X   X X X
7 p.m.-Midnight²       X      
¹ Exception: urgent/emergency service. 
² 270/271 services are unavailable every Thursday evening from 7:00 p.m.-midnight. We recommend that you refrain from submitting e-transactions during this time period.

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276/277 Claim Status Inquiry
EDI Transaction Schedule
Availability

Daily

M T W T F S S
24 hours¹ X X X   X X X
7 p.m.-Midnight²       X      
¹ Exception: urgent/emergency service 
² 276/277 services are unavailable every Thursday evening from 7:00 p.m.-midnight. We recommend that you refrain from submitting e-transactions during this time period.

Transactions submitted through FTA, NEHEN and NEHENNet channels during the maintenance window will be queued, and a response will be provided at the end of the maintenance window. Transactions submitted through Healthcare Transaction Services (HTS), HTTP MIME Multipart or SOAP + WSDL channels will receive “AAA” message unable to respond; transactions may be at the end of the maintenance window. 

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278 Referral Authorization
EDI Transaction Schedule
Availability

Daily

M T W T F S S
24/7¹ X X X X X X X
¹ Exception: routine maintenance; urgent/emergency service

Note: Trading partners submitting patient referral/authorization transactions through NEHEN Express or NEHENNet should be aware of the routine maintenance downtime for the eligibility transaction, as this may result in a delayed transaction response.

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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