Insights and Updates for Providers
January 2025Use our secure HPHConnect portal for speedy self-service
We encourage providers and office staff to use our secure HPHConnect portal to conduct a variety of self-service transactions for Harvard Pilgrim Health Care Commercial members.
Read moreContinued stay and inpatient level of care reviews
We’re sharing a reminder regarding continued stay reviews for DRG case rate admissions, and an update to our level of care review process for elective inpatient surgical procedures.
Read more2025 Physician Group Honor Roll announced
Consistent with new Maine regulation, we will no longer deny claims from network providers for failure to obtain prior authorization.
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Additional Information
Join the Network
Learn more about participating in Harvard Pilgrim’s exceptional provider network
Our Products
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E-Business
Our electronic transaction capabilities make doing business with us quick and efficient
COVID-19 Provider Resources
You’ll find the latest provider updates on COVID-19 related policies, coverage, and reimbursement here.
Provider Training and Events
Learn about upcoming webinars and office manager meetings, watch 3-minute video training sessions, and access training guides and resources. Plus share your feedback to help us create new events and tools geared to your needs.
Vendor Prior Authorization Programs
Reference information on our vendor partners who conduct utilization management for certain services.