Join the Harvard Pilgrim Health Care network
Harvard Pilgrim Health Care was founded by doctors over 50 years ago to improve health care delivery and value. In 2021, Harvard Pilgrim combined with Tufts Health Plan to create Point32Health, a leading not-for-profit health and well-being organization, to deliver a better health care experience for members and the communities we serve. Become a participating provider today, and together we can improve outcomes and the value of health care, through true collaboration in tackling today’s health care challenges.
To join our network, please complete and submit the following materials to Harvard Pilgrim’s Provider Processing Center for review.
Medical Professional Providers
For providers such as MDs, DOs, DPMs and oral surgeons. If you participate in a Physician Organization (such as an IPA or PHO), prior to completing the above paperwork, contact the Provider Unit or Contracting administrator of your organization to discuss next steps.
Ancillary Providers
Includes Ambulance, ASC, DME, Home Care, Infusion Centers, Labs, Radiology, SNFs, and Urgent Care
Behavioral Health
- Ancillary Practitioner Data Form Behavioral Health
- Ancillary Data Form Community Mental Health Center/Substance Use Treatment Center/ABA Services
- W-9
(Please note that, consistent with state requirements, Rhode Island providers requesting to join our commercial network must also become participating providers in our Rhode Island Medicaid network for the Tufts Health RITogether product.)
Submit your application documents by email to: [email protected]
For status inquiries on your application: please call the Provider Service Center at 1-800-708-4414.
New to this process? Our tip sheet can help
New to this process? Refer to our “Becoming a network provider” tip sheet to learn about the steps involved, including contracting, credentialing, and enrollment, as well as information on maintaining your CAQH profile and affiliation changes.
Credentialing is your next step
For all providers, credentialing is an important step in being able to provide care to our members. Refer to the credentialing information below and begin with CAQH ProView.
Get started with our Welcome Flyer
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Once you are a participating provider, our Welcome Flyer will guide you through getting started with us. Learn how to register for our secure portals, sign up for our monthly electronic newsletter, register for electronic funds transfer and more.
View our Welcome Flyer