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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

January 2014

Reminder: Electronic Funds Transfer is Now Available

Earlier this month, Harvard Pilgrim began offering electronic funds transfer (EFT) for our commercial HMO, PPO, and POS products, as well as our Medicare Enhance and Medicare Supplement products, to providers through PaySpan Health®. PaySpan offers the convenience of being your one-stop source for your electronic payment, electronic 835 ERA, and EOP paper equivalent.

Payspan allows you to direct your payments electronically to a bank account. Providers who register with PaySpan will automatically receive their electronic 835 ERAs and explanation of payment (EOP) directly from PaySpan.* Therefore, PaySpan users will no longer receive a paper EOP from Harvard Pilgrim. Through PaySpan’s self-service environment, you can also review current or past payments.

To receive electronic payments, you must register with PaySpan. If you don’t currently use PaySpan, you may obtain a  registration code and PIN for creating an account by calling PaySpan Provider Services at
877-331-7154 and selecting option 1 or by visiting www.payspanhealth.com/RequestRegCode/.  When you begin registering, please have your bank name, routing number, and account number handy. Step-by-step registration instructions are available on the PaySpan website.

If you are already registered with PaySpan, you will now be able to update your existing PaySpan account to include Harvard Pilgrim. If you need assistance in adding Harvard Pilgrim to your PaySpan account, email providersupport@payspanhealth.com or call PaySpan Provider Services (877-331-7154, option 1).

EFTs will be processed every Friday.  Please note that fully activated enrollment takes a minimum of 48 hours. Therefore, if you enroll on a Thursday, your first electronic payments would occur on the Friday of the following week, not the following day.

You can also find information about EFTs in the “Electronic Funds Transfer (EFT)” section of Harvard Pilgrim’s provider site.

* Note:  EFTs and ERAs are available for claims processed on Harvard Pilgrim’s new claims processing system. Harvard Pilgrim will continue to issue paper checks and 835 ERA files for claims processed on our legacy claims platform. Harvard Pilgrim began migrating accounts onto the new claims system in 2011 and the majority of our accounts and members have been converted to the system. Conversions are continuing through the first half of 2014. Once all payments are being made from the new claims system, providers who are registered with PaySpan will no longer receive paper checks or EOPs in the mail or 835 ERA files from Harvard Pilgrim.

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Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,

Kristin Edmonston,
Production Coordinator