Billing and Reimbursement
Payment Policies
Review our commercial Payment Policies for a variety of services.
Claims Information and Policies
Information on claims submission and resources for paper and electronic claims.
Appeals Information
Refer to our commercial appeals policies and information on filing limits.
Electronic Payment
Sign up for electronic funds transfer for convenient reimbursement.
No Surprise Act Provider Payment Disputes
Information for out-of-network provider payment disputes related to claims that qualify for No Surprise Act protections.
HPHConnect
HPHConnect is Harvard Pilgrim’s highly acclaimed Web-based transaction service for our commercial plans. It’s free, available 24/7, and is HIPAA-compliant. Here you can submit batch claim files, verify patient eligibility, send/receive specialty referrals, submit authorization requests, and more.
Key Contacts
Provider Service Center (commercial):
800-708-4414
Care Management
888-888-4742, x 31035
E-Services/EDI-Direct:
800-708-4414 (Option 1; then 3)
E-mail: EDI_Team@point32health.org
E-Services/HPHConnect Service Center:
800-708-4414 (Option 1; then 6)
Email: provider_ebusiness_services@point32health.org.