Harvard Pilgrim Health Care Home
  Learn more.
  Sign up for HPHConnect.
Medical Management
For Your Patient
News Center
Office Support
Provider Manual
Medicare Advantage
Provider Portal
Provider Manual
Prior Authorization Medical Review Criteria
Quick Reference Guide
Medicare Forms
Changes to Your Practice
Research & Teaching
Resources & Links
Print    Text Size
Changes to Your Practice

Changes to Your Practice
It is important to notify Harvard Pilgrim of any changes to your mailing, practice, or billing address. If you have changes to your demographic information, please complete this Provider Change Form.

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


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

Drug Formulary and Utilization Management Criteria


Prior Authorization Requirements

Step Therapy Requirements

Medicare Prescription Drug Coverage Determination Form

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 93430
Lubbock, TX 79493

Claims appeal:
Fax#: 617-509-4225, or mail to: Medicare
Advantage Provider Appeals
P.O. Box 690546
Quincy, MA 02169