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The materials, here, support Harvard Pilgrim appeal, billing, enrollment, and e-services/e-transaction policies, but they are not inclusive. For complete information on Harvard Pilgrim policies, refer to our Harvard Pilgrim Health Care Provider Manual.

Appeals

Billing and Reimbursement

Click here to access all current Prior Authorization and Exception Request Forms from the Provider Manual.

Referral, Authorization and Notification

Click here to access all current Prior Authorization and Exception Request Forms from the Provider Manual.

E-Services 

Enrollment

NPI

 
Key Contacts
Provider Service Center
(800) 708-4414
Referral & Authorization Requests
(800) 708-4414
Behavioral Health Care Resources
(888) 777-4742
Care Management
(888) 888-4742,
Ext. 31035
E-Services
(800) 708-4414
Provider Relations Consultants (PRC)
  • CT
    (877) 594-7190
  • MA/RI
    (888) 888-4742
  • ME
    (888) 476-2463
  • NH
    (800) 544-9759

Who's my Provider Relations Consultant?
Key Contacts Directory (Download)