Back to Harvard Pilgrim Health Care Commercial Provider ManualBilling & ReimbursementHarvard Pilgrim Health Care Commercial Provider Manual Claims Submission Clean Claims Electronic Claims Paper Claims Claims Submission: Resources Code Auditing Reference Tool (CMS-1500 Claims) on HPHConnect Claims Submission Guidelines Completing a Paper ADA J400 Form Completing a Paper CMS-1500 (02-12) Form Completing a Paper UB-04 Form Resubmitting a Claim Replacement Claim Billing Rejected or Returned Claims Third Party Liability Coordination of Benefits (COB) Claims Motor Vehicle Accident (MVA) Claims Other Injury (Liability) Accident (OI) Claims Workers Compensation (WC) Claims Account Reconciliation Account Reconciliation Audit Policy Negative Balance Retractions, Returned Checks, and Refund Checks Manual Topics Manual Topics Appeals Billing & Reimbursement eServices & Online Solutions Member Care Network Operations & Care Delivery Management Referral, Notification & Authorization