Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
HPHConnect
Pharmacy
For Your Patient
News Center
Office Support
Products
Provider Manual
Network Ops & Care Delivery Mgmt.
Member Care
Product & Product Administration
Referral, Notification and Authorization
eServices and Online Solutions
Billing and Reimbursement
Payment Policies
Appeals
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size
Billing and Reimbursement

Third Party Liability
    Coordination of Benefits (COB) Claims (03-17)
    Motor Vehicle Accident (MVA) Claims (03-17)
    Other Injury (Liability) Accident (OI) Claims (03-17)
    Workers Compensation (WC) Claims (03-14)

Claims Submission
    Clean Claims (09-16)
    Electronic Claims (03-17)
    Paper Claims (03-17)

Resubmitting a Claim
    Replacement Claim Billing (01-17)
    Rejected or Returned Claims (09-16)

Account Reconciliation
    Account Reconciliation (03-17)
    Audit Policy (03-14)
    Negative Balance (03-17)
    Retractions, Returned Checks, and Refund Checks (10-17)

Resources
Code Auditing Reference Tool (CMS-1500 Claims)
    Claim Submission Guidelines (09-16)
    Completing a Paper ADA J400 Form (10-15)
    Completing a Paper CMS-1500 (02-12) Form (03-17)
    Completing a Paper UB-04 Form (03-17)

Forms
    EDI Enrollment Form (01-14)
    835 Electronic Remittance Advice (ERA)  
     Enrollment Form (01-14)
    835 Electronic Remittance Advice (ERA)  
     Enrollment Form Companion Guide (01-14)

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

Important Information About This Manual
Quick Reference Guide by Service & Product
Key Contacts