Provider Manual

This manual contains information intended for all Harvard Pilgrim Health Care providers, including Medicare supplement providers. To the extent that any provision of this Harvard Pilgrim Health Care manual is inconsistent with any provision of your contract with Harvard Pilgrim Health Care, the terms of the contract shall control.To the extent that any provision of this Harvard Pilgrim Health Care manual is inconsistent with any provision of our Harvard Pilgrim Health Care Member Agreement, the terms of the member agreement shall control.

Purpose

This Harvard Pilgrim Provider Manual has been developed as a reference tool for physician, facility and ancillary office staff who serve Harvard Pilgrim Health Care and Harvard Pilgrim Health Care of New England members. References to Harvard Pilgrim Health Care, Harvard Pilgrim or HPHC in this manual also apply to its affiliate, Harvard Pilgrim Health Care of New England. Use this manual to find information on a range of products including the Harvard Pilgrim HMO, POS, PPO, national plans, and senior plans.