We encourage providers and office staff to use our secure HPHConnect portal to conduct a variety of self-service transactions for Harvard Pilgrim Health Care Commercial members. The secure portal is available 24/7 for you to conduct online transactions, including:
- Verify member eligibility
- View a patient’s personal health record
- Send and receive specialty referrals
- Provide notification and request authorization
- Check the status of a claim
- Submit claim batch files (HIPAA 837 format)
- Single claim direct data submission for professional claims
Using the portal can be more efficient than phone or fax. For example, when requesting prior authorization, you may receive an on-the-spot response for certain services that utilize InterQual criteria.
If you haven’t signed up for HPHConnect yet, you can get started by completing this web-based registration form, which will guide you step-by-step through the process and allow you to upload any necessary documents directly. Once the form is complete, remember to finish setting up your account — including selecting your username and account password — on the HealthTrio site. You’ll also find registration instructions in the HPHConnect tab of this webpage.
Last year, we experienced high demand for registering for the HPHConnect, but we’ve made some improvements to our registration process and have reduced turnaround times (by the end of January, we anticipate that we will be processing registration requests in an estimated 7-10 business days).
For more information, refer to this HPHConnect FAQ and for guidance on conducting common transactions in HPHConnect please review one of our HPHConnect user guides.