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Medicare Advantage Provider Portal

Medicare Advantage Provider Portal
Our Medicare Advantage Provider Portal allows you to perform a variety of transactions online for our Stride (HMO) plans, including:

  • Verify patient eligibility
  • Track claims
  • Review the status of authorization requests
  • Check member copayment amounts

Provider Portal Resources
The documents below will assist you with registration to the Medicare Advantage Provider Portal:

If you would like to register for the Medicare Advantage Provider Portal, please complete the registration form above and submit it by fax to 866-884-3844 or by email to Provider_eBusiness_Services@harvardpilgrim.org.

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Key Resources

Medicare Advantage Provider Portal

Medicare Advantage Provider Portal Registration Form

Quick Reference Guide

StrideSM (HMO) Medicare Advantage Prior Authorization and Referral Chart

Prior Authorization Request Forms

Referral Form

Claim Review Form

Claims Appeal Form

Claim Overpayment Refund Form

Medicare Compliance Program

Pharmacy Management Utilization Criteria

Step Therapy Requirements

Prior Authorization Requirements

Medicare Advantage Provider Service Center:
Oct. 1 – March 31,
8 a.m. to 5 p.m. (ET), 7 days a week
April 1 – Sept. 30,
8 a.m. to 5 p.m. (ET), Monday - Friday

To mail Medicare claims:
Harvard Pilgrim Health Care, Inc.
c/o Stride Claims Processing
P.O. Box 151288
Tampa, FL 33684-1288

Claims appeal:
Medicare Advantage Provider Appeals
P.O. Box 690546
Quincy, MA 02169