Welcome providers

Resources and information for providers and office staff

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Update on Provider Service Center hours for Tufts Health Public Plans only: We’re temporarily adjusting the hours of operation for our provider service center to allow for focused time to work through existing inquiries. Learn more about the updated hours of operation.

HEDIS MY2025 medical record requests

As required by the NCQA and CMS, Point32Health will send HEDIS MY2025 medical record requests via mail to providers beginning in February 2026.

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Reminder: Deadline to submit claims for Stride members

As a reminder, please submit claims for Stride members by Dec. 31, 2025. We will not accept claims after the claims runout date, as Stride has been discontinued.

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Final reminder: Complete the new 2025 Model of Care training by Dec. 31

The 2025 SCO Model of Care training is now available, and we encourage you to complete it as soon as possible.

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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.

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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.

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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.

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Electronic payment

Visit our electronic funds transfer (EFT) page to get started with receiving your reimbursement electronically.

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Resources

Visit our one-stop shop for Prior Authorization information and materials.

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Vendor programs

Learn about vendor partners who conduct utilization management for certain services.

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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.

Become a contracted 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. 

View our plans