Harvard Pilgrim Health Care is pleased to offer shared administration plans for the Painters & Allied Trades District Council No. 35 and the Iron Workers District Council of New England/Iron Clad unions, and we want to make you aware of some key information on recognizing and serving these members.
These unions began offering their members Harvard Pilgrim Commercial plan coverage as follows: the Painters & Allied Trades District Council No. 35 as of Oct. 1, 2024 and the Iron Workers District Council of New England/Iron Clad as of Jan. 1, 2025.
As these are shared administrative accounts, in which administrative services are shared by the unions themselves and Point32Health, there are a few things to keep in mind:
- The member ID cards will show the Harvard Pilgrim logo, but the member ID numbers don’t begin with the HP prefix as our ID numbers for most other plans do. Both unions utilize 9-character alphanumeric member ID numbers, with the Painters union ID number prefixed with A and the Iron Workers ID number prefixed with B.
- When submitting claims or requesting an authorization, be sure to use the member ID number exactly as it appears on the ID card — do not add an HP prefix. We encourage electronic claims submission, but if you prefer to send paper claims, the correct claim address is located on the back of the member’s ID card.
- When verifying member eligibility on our portal, you’ll be able to see that the member is eligible but not all benefit and cost-sharing information will be available. For eligibility, you may also call 800-799-1240 for the Painters union and 617-436-3500 or 866-229-4766 for the Iron Workers union.
- If you submit claims using electronic data interchange, the EDI 277 claim status response report will note claim receipt. However, the HPHConnect portal won’t display information on adjudicated claims; that information will be available on your EOP and payment from the unions.
- Please note that our vendor management programs for outpatient chemotherapy (with OncoHealth) and our high-tech imaging program (with Evolent) do not apply for the Painters and Iron Workers union plans at this time.
Painters & Allied Trade DC#35 Sample Member ID card
Iron Workers District Council of New England Sample Member ID card
