Harvard Pilgrim’s easy-to-use electronic tools offer valuable information to providers, and support a variety of online self-service functions to help you do business quickly and efficiently. These useful tools include HPHConnect (HPHC’s own free, highly acclaimed web-based transaction service), EDI-Direct, NEHEN, and NEHENNet.
HPHConnect is a user-friendly, HIPAA-compliant e-tool developed by Harvard Pilgrim to help provider practices run as smoothly as possible and deliver excellent care while saving time. With it, providers have access to a wealth of useful information, and have the ability to easily perform a number of transactions on their own. Among other things, the online self-service tool can be used to:
- Verify patient eligibility using flexible search options
- Find the status of a claim
- Submit claim batch files (HIPAA 837 Format)
- Submit notification and authorization requests and receive a timely status acknowledgement
- View a patient’s personal health record
- Send specialty referrals and receive a timely response
Also at providers’ disposal through HPHConnect is an array of information, including PCP membership reports, provider analytics, and more.Visit the HPHConnect webpage for more details. A collection of user guides is accessible via the provider section of Harvard Pilgrim’s website to help familiarize providers with the tool’s features and how to use them.
If you are not yet registered, simply complete the easy online registration and see what HPHConnect has to offer. In addition to HPHConnect, Harvard Pilgrim supports other time-saving e-tools for online transactions — EDI-Direct, NEHEN, and NEHENNet — as detailed on the Harvard Pilgrim website .