Important resource reminder coming by mail
A postcard we’re mailing in March will guide providers to key Point32Health resources, portals, and contacts, supporting NCQA requirements and simplifying daily practice needs.
Elective inpatient medical admissions initiative halted
Harvard Pilgrim will not proceed with previously announced prior authorization and level of care reviews for elective inpatient admissions; please continue following existing processes.
Updates to Maximum Units Payment Policy
Tufts Health Plan will adopt CMS/Medicaid MUE limits, apply custom limits when needed, and deny claims exceeding allowable units beginning May 2026.
About the HPHConnect secure portal
Learn about HPHConnect, our secure web-based transaction service for Harvard Pilgrim products, including how to register and submit transactions.
About the Tufts Health Plan secure portal
Learn about the web-based transaction service for Tufts Health Plan products, including how to register and submit transactions.
Electronic data interchange services (EDI)
Visit the EDI page to learn more about trading partners, getting set up for electronic transactions and to access companion guides.
Electronic payment
Visit our electronic funds transfer (EFT) page to get started with receiving your reimbursement electronically.
Vendor programs
Learn about vendor partners who conduct utilization management for certain services.
Join the network
We invite you to join us in ensuring that our communities have access to high-quality, equitable health care by becoming a participating provider.
View our plans
Learn more about the diverse range of health plans we offer under our legacy brands, Harvard Pilgrim Health Care and Tufts Health Plan.