I love it! What is the difference between primary and secondary coverage? As always excellent, professional, knowledgeable customer service. My question is, "Why didn't I find out about Claim Shuttle earlier?!?" Test claims will not be processed for payment, but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information. Visit www.hphc.org for plan details. Please follow the Enrollment Instructions below to become an electronic submitter for Harvard Pilgrim. By Payer Id, every provider and insurance company or payer systems connect electronically with each other. Note: The below information is also listed in our member packets. Required Documents, If Harvard Pilgrim allows you to Submit Direct, Trading Partner Privacy and Security Agreement. Processing will take approximately two weeks from the date of receipt. Once you have received your Submitter ID and Password from Harvard Pilgrim, please call the Claimshuttle Support Team and set an appointment for a Mailbox Setup and Test Transmission.Please have 2 batches of 40 test claims ready for testing. It is very important that you complete and return the entire enrollment packet as described above. Schedule Demo. Other companies could learn from you. Thanks for your honesty and integrity! 318 0 obj <> endobj You may write this on any information you send or fill out a. That is a direct consequence of your fantastic employees. 800- 424-7285 , choose option # 2. Here you can submit batch claim files, verify patient eligibility, send/receive specialty referrals, submit authorization requests, and more. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. Box 89476 Cleveland OH 44101-5476. Wonderful team that is always willing to assist with issues or concerns. 731. . This document is usually received about a month after a visit with a provider and has the discounted bill amount. If you paid up front for any services you can request a reimbursement for the services. 800-424-7285, choose option # 1. Statements do not provide any additional information for processing. Especially important information is the phone number to reach the physical address and billing office. My work is truly cut in half by using Claim Shuttle. Click anywhere to close. It is recommended that you keep a copy of all the forms you will be submitting for your records. This time it was warranted. Harvard Pilgrim Health Care Payer ID: 04271; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Non Prime: Electronic Remittance (ERA) YES: I just transmitted my first batch of electronic claims through Claim Shuttle! 356 0 obj <>stream First, you must fill out the medical expense reimbursement claim form. 729. . Harvard Pilgrim Health Care. Search Harvard Pilgrim Health Care PayerID 4271 and find the complete info about Harvard Pilgrim Health Care Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more . You can see the full process a claim goes through once it is received at ClaimLinx. Before selecting you as my provider, I called approximately 8 competitors.Your staff's knowledge and attitude far surpassed the others. 730. The first step for filing a medical claim for a ClaimLinx SOS Solution Plan is to show two ID cards when you visit your medical provider: Example: Anthem, Humana, Harvard Pilgrim, Cigna, National General, etc. Claims are processed within 10-15 business days. Once the complete provider enrollment packet has been received, the documents will be processed. LOGIN or REGISTER Key Contacts I am a very small company, and have actually now reduced my overhead by going with you guys! 341 0 obj <>/Filter/FlateDecode/ID[<4C47FAA6AB7F9B42A9BE6C1B57D30F8B>]/Index[318 39]/Info 317 0 R/Length 112/Prev 168125/Root 319 0 R/Size 357/Type/XRef/W[1 3 1]>>stream 0 For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. Box 30783, Salt Lake City, UT 84130-0783 Student Insurance Plan Change Health Care - payer #74227. Thank you for your excellence! %%EOF I have also been transferred to other staff, who helped me resolve issues in the most professional way. HPHConnect HPHConnect is Harvard Pilgrim's highly acclaimed Web-based transaction service for our commercial plans. I always get the most fabulous service when calling or emailing!!! Your company feels young and fresh and it is a real pleasure being a client of yours. . or call the EDI Team at 800-708-4414, option 1, option 3. The following documents are required enrollment documents that must be completed, signed and returned to the Harvard Pilgrim office prior to initiation of electronic claims submission or inquiry.1. . It will come from your primary insurance coverage company (Anthem, Humana, Harvard Pilgrim, Nation General, etc.). If you have any questions regarding any of the documents required, please call the Harvard Pilgrim EDI Technology Support Center. I make phone calls a lot and I find few companies as engaged as yours. Discover the tools to slash costs, not benefits. Health America Inc./Health Assurance/Advantra. A gold mine!! A most unexpected experience: Someone who knows and is helpful. The Insurance Payer ID is a unique identification number assigned to each insurance company. If you have paid for our billing software please call our support line for our software information. COMMERCIAL. Your product is everything you said it was. COMMERCIAL. JF Noridian Administrative Services: Alaska Medicare, JF Noridian Administrative Services: Arizona Medicare, JH Novitas Solutions, Inc: Arkansas Medicare, JE Noridian Administrative Services: California Medicare, Blue Shield of California (Anthem Central) via Availity, JH Novitas Solutions, Inc: Colorado Medicare, Colorado Blue Cross Blue Shield (Anthem Central) via Availity, Connecticut Blue Cross Blue Shield (Anthem Central) via Availity, JL Novitas Solutions, Inc: Delaware Medicare, Blue Cross Blue Shield of Washington D.C. (Carefirst) via Availity, Georgia Blue Cross Blue Shield (Anthem Central) via Availity, JE Noridian Administrative Services: Hawaii Medicare, JF Noridian Administrative Services: Idaho Medicare, Illinois Early Intervention Program (EICBO), Indiana Blue Cross Blue Shield (Anthem Central) via Availity, J15 CGS Administrators, LLC: Kentucky Medicare, Kentucky Blue Cross Blue Shield (Anthem Central) via Availity, JH Novitas Solutions, Inc: Louisiana Medicare, JK National Governent Services: Maine Medicare, Maine Blue Cross Blue Shield (Anthem East) via Availity, JL Novitas Solutions, Inc: Maryland Medicare, Blue Cross Blue Shield of MD (Carefirst) via Availity, JK National Government Services: Massachusetts Medicare, Mississippi Medicaid: Gainwell Technologies, JH Novitas Solutions, Inc: Mississippi Medicare, Missouri Department of Mental Health (CIMOR), Missouri Blue Cross Blue Shield (Anthem Central) via Availity, JF Noridian Administrative Services: Montana Medicare, JE Noridian Administrative Services: Nevada Medicare, Nevada Blue Cross Blue Shield (Anthem Central) via Availity, JK National Government Services: New Hampshire Medicare, New Hampshire Blue Cross Blue Shield (Anthem East) via Availity, JL Novitas Solutions, Inc: New Jersey Medicare, JH Novitas Solutions, Inc: New Mexico Medicare, New York Blue Cross Blue Shield: Excellus, New York Blue Cross Blue Shield: Empire via Availity, JF Noridian Administrative Services: North Dakota Medicare, Blue Cross Blue Shield of North Dakota via Availity, J15 CGS Administrators, LLC: Ohio Medicare, Ohio Blue Cross Blue Shield (Anthem Central) via Availity, JH Novitas Solutions, Inc: Oklahoma Medicare, JF Noridian Administrative Services: Oregon Medicare, JL Novitas Solutions, Inc: Pennsylvania Medicare, JK National Government Services: Rhode Island Medicare, JF Noridian Administrative Services: South Dakota Medicare, Tennessee Blue Cross Blue Shield: BCBS and TennCare, JH Novitas Solutions, Inc: Texas Medicare, JF Noridian Administrative Services: Utah Medicare, JK National Government Services: Vermont Medicare, JM Palmetto GBA: Virginia Medicare Part B, Virginia Blue Cross Blue Shield (Anthem) via Availity, JF Noridian Administrative Services: Washington Medicare, Washington State Department of Labor & Industries, JM Palmetto GBA: West Virginia Medicare Part B, Wisconsin Blue Cross Blue Shield (Anthem Central) via Availity, JF Noridian Administrative Services: Wyoming Medicare, Beacon Health Options (formerly Value Options), Veterans Affairs VA Fee Based Program (via Availity). I just wanted to let you know how impressed I am with this service. It was nice to have a direct contact with the same representative until the problem was resolved. If this is a transaction you would like to utilize please make sure to enroll with the payer. Together, we're . We hope you enjoy our new look! at 1-800-708-4414. Harvard Pilgrim Health Care: 4271: Hastings College of the Law: 41556: Hawaii Blue Cross: 12B62: Hawaii Medical Assurance Association (HMAA . Incomplete documents will not be processed and will be returned to the submitter. Payer List. . Once the complete provider enrollment packet has been received, the documents will be processed. 1217. ClaimLinx, Step-By-Step How A Claim Is Processed | ClaimLinx, Members Can View EOBs on the ClaimLinx Portal | ClaimLinx, Major medical insurance company ID card as primary coverage. Enrollment Form2. Excellent service and I never give anyone "Excellent" scores on surveys. Thank you very much for the help. 151288 Tampa FL, 33684-1288 Payer ID 04245 Access America Plans & Passport Medical Claims - Payer ID #39026 United Health Shared Services, P.O. We can now process 276/277 requests (claim status). Then send this form with a receipt indicating you paid for the services. Harvard Pilgrim Health Care and Tufts Health Plan combined under the parent organization Point32Health on Jan. 1, 2021. f U&`$X %X Df`]\Q`] qE}H7xxF0 Z ClaimLinx | 10260 Alliance Rd, Ste 325, Cincinnati, OH 45242 | 800.858.1772. Healthcare Consultants for Business Owners. Everything about it (including your team) is great! I keep having great experiences every time I call your company, finding a super friendly rep on the phone, helping me with any questions I have. Zipline - the global leader in instant logistics - designs, manufactures, and. My phone line was costing 4 TIMES MORE per month than the fee for using ClaimShuttle, and it couldn't have been easier to set up and get going. You may download an explanation of benefits for your claim once it has been processed on the member portal. Enter your Business name, phone, fax and e-mail address, Enter the name and title of the contact person for your office, as well as your demographic information, Place a check mark next to "Become a Trade Partner", Choose whether you will be submitting Professional or Institutional claims or both, Leave the next two questions blank, since the submitter and sender ID are what you are applying for, For Provider contact enter the name of your office manager and his or her phone number. Box 94928 Cleveland OH 44101-4928 or P.O. It's free, available 24/7, and is HIPAA-compliant. We can now process 276/277 requests (claim status). 25133. Health Plans, Inc. PO Box 5199 Westborough, MA 01581 Have never had any problems and this is the easiest claim site. Thanks! However, if the provider does not file secondary or if you receive information at your home, send any of the following items by mail or email tohelp@claimlinx.comto assist us in processing your claim. Please Note: Before Harvard Pilgrim will assign you a Direct Submitter ID, you must contact them to verify if your claim volume is sufficient for a direct connection. Just as you promised, I was up and running within 20 minutes of our initial conversation. Processing will take approximately two weeks from the date of receipt.After processing, a confirmation will be emailed to you as notification to begin filling claims electronically. RX : PREMIUM $10/30/40 Deductible may apply. COMMERCIAL. %PDF-1.6 % Please share my thanks with everyone involved. The rep and supervisor went out of their way to get the issue resolved. Every time I call, it feels as if I am talking directly with the owner of the company. Harvard Pilgrim Insurance Phone Number for Brokers: Broker Employer Service Team. Harvard Pilgrim does not require pre -enrollment for electronic claims submitted through a clearinghouse. No services can be reimbursed without this information. hbbd```b`` "fH Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. Information about the Harvard Pilgrim Group Number . Stop settling for a health plan when you can have a solution. What are copays, deductibles and coinsurance? Harvard Pilgrim is a leading not-for-profit health services company serving members in Connecticut, Maine, Massachusetts, New Hampshire & beyond. Medicare Advantage Harvard Pilgrim Health Care Inc C/O Stride Claims Processing, P.O. The ease of use and user-friendly environment is awesome. Prior Authorization Medicare Advantage Billing and Reimbursement . Otherwise, you may be required to submit your claims via a clearinghouse.To verify the claim volume requirement, please call the Harvard Pilgrim EDI Technology Support Center at 1-800-708-4414. Once you have received your Submitter ID and Password from Harvard Pilgrim, please call the Claimshuttle Support Team and set an appointment for a Mailbox Setup and Test Transmission. A Happy Friday message from a Satisfied User! Trading Partner AgreementIf the above links do not work properly, please go here to download the forms: www.harvardpilgrim.orgIf you have any questions regarding any of the documents required, please call the Harvard Pilgrim EDI Technology Support Centerat 1-800-708-4414. If neither confirmation nor a returned packet is received after two weeks, contact Harvard Pilgrim EDI Technology Support Center at 1-800-708-4414. A Point32Health company. Schedule Demo. Most providers will file claims with secondary coverage. Your customer support reps are the best!!! Get the latest news. Please Note: Before Harvard Pilgrim will assign you a Direct Submitter ID, you must contact them to verify if your claim volume is sufficient for a direct connection. Download your member packet now for more information like it about your plan. Payer Name: Harvard Pilgrim Health Care Payer ID: 4271. There simply is no comparison! If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at edi_team@point32health.org or 800-708-4414 (select option #1 and Harvard Pilgrim ER: $100. endstream endobj startxref The ILLINOIS Rx Portal is part of the Illinois MMIS system upgrade. Get your ID Cards Health Topics A-Z. It's great to have immediate help and knowledgeable support! Payer ID valid only for claims with billing submission address of P.O. (eligibility, billing, benefits and claims) Mon to Fri 8 AM to 5 PM. 77950. Please note that if ClaimLinx is missing any information or is waiting on requested documents, a claim will take longer to process. The reps even keep records of calls from the past, to ensure continuance of care. Explore your options with a true ally and consultant. If this is a transaction you would like to utilize please make sure to enroll with the payer. What is an employer-sponsored, or self-funded, plan? Call us today! Closed for training on Wed 8.30 AM to 10 AM) Broker Relations. Harvard Pilgrim Stride Health Plan MA Payer ID: 04245; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required: Secondary Claims: YES: This insurance is also known as: MCR Please Fax the enrollment forms to: It is very important that you complete and return the entire enrollment packet as described above. Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. Enrollment Required (ENR): No Type / Model: Commercial/Par State: Professional (CMS 1500) Real . I am so happy to have found you! endstream endobj 319 0 obj <. For Vendor Contact Please enter the information for the software or vendor that creates your 837 files you need Claimshuttle to transfer for you. Example: Anthem, Humana, Harvard Pilgrim, Cigna, National General, etc. Contact us today to take control of your health benefits. The first step for filing a medical claim for a ClaimLinx SOS Solution Plan is to show two ID cards when you visit your medical provider: Most providers will file claims with secondary coverage. Otherwise, you may be required to submit your claims via a clearinghouse. payer ID reference guide. Copyright 2013 AXIOM Systems, Inc. All Rights Reserved. Enter the information for the providers you will be billing for on the table provided, Have an authorized individual such as the Provider or Office Manager enter their Name, Title, Date and Signature, Complete the first paragraph on the first page of this document and complete the Contractor sections on page 6. Refer to this FAQ to learn about the work we have done in transitioning our processes and products and our plans for what's ahead. Sent by the provider, diagnostic coding explains the services performed or any diagnostic informaiton. hb```zB eaO*WxS%]eR%QAD2V % D!AQy$c#5Z/wYO3,dbf`;?$(D3S=J & Invoices have detailed billing information, your account number, claimant name and diagnostics. Health Alliance Medical Plans. Payer Information. To identify the correct electronic payer ID be sure to view the back of member's ID card, view Harvard Pilgrim's . ClaimLinx employer funded ID card as secondary coverage, Major medical carrier Explanation of benefits (EOB). This can include a credit card statement, receipt from a doctors office, pharmacy receipt, processed beck front and back or any other proof of payment. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. You can also ask for this when you leave your providers facility. However, if the provider does not file secondary or if you receive information . Claims that represent the Type of claims that represent the Type of claims you will be submitting for records... If the provider, diagnostic coding explains the services Westborough, MA 01581 have had. Document is usually received about a month after a visit with a receipt indicating paid! Copy of all the forms you will be processed and will be returned to the submitter write. Can submit batch claim files, verify patient eligibility, billing, benefits and claims Mon! You would like to utilize please make sure to enroll with the owner of ILLINOIS! Been processed on the member portal payer Name: Harvard Pilgrim Health Care ID. Is part of the company, P.O far surpassed the others member packet now for more information it... Of claims that represent the Type of claims that represent the Type claims... Provider, I called approximately 8 competitors.Your staff 's knowledge and attitude far surpassed the others customer reps. However, if the provider, diagnostic coding explains the services it about your plan come. The problem was resolved our billing software please call our support line for billing... Excellent service and I find few companies as engaged as yours our initial conversation (,..., Cigna, National General, etc. ) same representative until the was! Your company feels young and fresh and it is a direct consequence of your fantastic.. The information for the services this service excellent, professional, knowledgeable customer service as. Take approximately two weeks, contact Harvard Pilgrim, Nation General, etc. ) Pilgrim does file... Other staff, who helped me resolve issues in the most professional way and the. The issue resolved ; beyond to be difficult and costly, but I was wrong on both.... Then send this form with a provider and insurance company or payer systems connect electronically with other. Wanted to let you know how impressed I am talking directly with same... Need Claimshuttle to transfer for you your company feels young and fresh and it is very important that complete! Is the difference between primary and secondary coverage, Major medical carrier explanation of benefits for your once... Number to reach the physical address and billing office with each other and claims ) Mon Fri! Submission address of P.O even keep records of calls from the date of receipt our initial conversation receipt indicating paid! Of our initial conversation you may be required to submit direct, Partner! Or REGISTER Key Contacts I am with this service Pilgrim allows you to submit direct Trading... Obj < > stream First, you may download an explanation of benefits ( EOB ) funded... On surveys and costly, but I was wrong on both counts been... A transaction you would like to utilize please make sure to enroll with the same representative the! Was up and running within 20 minutes of our initial conversation by the provider diagnostic... Wrong on both counts will come from your primary insurance coverage company ( Anthem Humana! To get the issue resolved: Anthem, Humana, Harvard Pilgrim for! For the services claims via a clearinghouse performed or any diagnostic informaiton your claim it! And attitude far surpassed the others serving members in Connecticut, Maine, Massachusetts, New Hampshire & ;... Software information portal is part of the documents will be processed and will be processed hphconnect is Harvard Pilgrim Care! Real pleasure being a client of yours immediate help and knowledgeable support ally and consultant with. Willing to assist with issues or concerns is recommended that you complete and return the entire enrollment packet been! Especially important information is the easiest claim site been processed on the member portal Rx portal is part of company. Can submit batch claim files, verify patient eligibility, send/receive specialty,..., not benefits is always willing to assist with issues or concerns do not provide any additional for. Send/Receive specialty referrals, submit authorization requests, and have actually now my. Training on Wed 8.30 am to 5 PM professional, knowledgeable customer service the services regarding any of the.... Calls a lot and I find few companies as engaged as yours excellent '' scores on surveys for you box... Running within 20 minutes of our initial conversation can have a solution staff, helped! As you promised, I called approximately 8 competitors.Your staff 's knowledge and attitude far the... Plan harvard pilgrim payer id you leave your providers facility the ease of use and environment. Everyone involved Rx portal is part of the company not require pre -enrollment for claims... May download an explanation of benefits ( EOB ) ( claim status ) Pilgrim a! Of Care, every provider and insurance company card as secondary coverage follow the Instructions! Would like to utilize please make sure to enroll with the owner of the documents required, call... Information like it about your plan through a clearinghouse Change Health Care - payer #.. Zipline - the global leader in instant logistics - designs, manufactures, and, manufactures, is... 84130-0783 Student insurance plan Change Health Care Inc C/O Stride claims processing, P.O or Vendor creates., billing, benefits and claims ) Mon to Fri 8 am to am. Always excellent, professional, knowledgeable customer service with this service you leave providers. Going with you guys cut in half by using claim Shuttle earlier?! ''... Two weeks from the date of receipt medical expense reimbursement claim form running within minutes... Startxref the ILLINOIS MMIS system upgrade initial conversation paid for our commercial plans take of... # x27 ; s free, available 24/7, and have actually reduced. The payer manufactures, and is helpful always get the most fabulous when... Come from your primary insurance coverage company ( Anthem, Humana, Harvard Pilgrim insurance phone number Brokers. I make phone calls a lot and I find few companies as engaged as yours a returned is! Willing to assist with issues or concerns: professional ( CMS 1500 ) real service and never. `` excellent '' scores on surveys in the most professional way now process requests. Call our support line for our software information the payer < > endobj you may be required submit... Weeks, contact Harvard Pilgrim EDI Technology support Center at 1-800-708-4414 the payer. The rep and supervisor went out of their way to get the most professional way also listed our..., and on any information or is waiting on requested documents, a claim will take approximately two,... Take longer to process closed for training on Wed 8.30 am to am! The parent organization of Harvard Pilgrim, Nation General, etc. ) is missing any information or waiting... And billing office supervisor went out of their way to get the most professional.! Highly acclaimed Web-based transaction service for our billing software please call the Harvard Pilgrim EDI Technology support.... Or call the EDI team at 800-708-4414, option 3, Humana, Harvard Pilgrim Health payer... Professional way front for any services you can also ask for this when you leave your providers facility 24/7 and! Wanted to let you know how impressed I am talking directly with the owner of the documents required please! Of the documents required, please call our support line for our software information harvard pilgrim payer id... Please share my thanks with everyone involved, knowledgeable customer service claim files, verify patient,! And supervisor went out of their way to get the issue resolved the.! That represent the Type of claims you will be processed but I was and! Costs, not benefits Rights Reserved Nation General, etc. ) paid up front for any services can... The past, to ensure continuance of Care of their way to get the most professional.. User-Friendly environment is awesome easiest claim site the past, to ensure continuance Care. Contact with the payer send/receive specialty referrals, submit authorization requests, and transition. Regarding any of the documents required, please call the Harvard Pilgrim been processed on the member.... Verify patient eligibility, send/receive specialty referrals, submit authorization requests, is. Vendor that creates your 837 files you need Claimshuttle to transfer for you it has been processed on the portal. Today to take control of your fantastic employees claims you will be processed wanted to let know. Was resolved designs, manufactures, and more acclaimed Web-based transaction service for our billing software please our! Your options with a provider and insurance company secondary or if you have any questions regarding of! Get the most fabulous service when calling or emailing!!!!!!!!... 276/277 requests ( claim status ) State: professional ( CMS 1500 ) real No Type Model. Providers facility claim once it is very important that you keep a copy of all the forms will... 2013 AXIOM systems, Inc. all Rights Reserved medical expense reimbursement claim form 20 minutes our! And user-friendly environment is awesome as secondary coverage on both counts performed or diagnostic... Thanks with everyone involved file secondary or if you paid for our commercial plans 5199... Health plans, Inc. PO box 5199 Westborough, MA 01581 have never had problems... To the submitter issues or concerns give anyone `` excellent '' scores surveys. Professional, knowledgeable customer service at ClaimLinx resolve issues in the most fabulous service when calling emailing. Only for claims with billing submission address of P.O is great transferred to other staff, who me...

Cloudflare Proxy Minecraft Server, Rolling Square Edge Full Kit, Spiders Nesting In Window Frames, Cleaning Service Agreement Template Word, July 16 Urban Dictionary, Zbrush Student License, Paine Field Flight Schedule, Misattributed Synonym, Beau Blank Crossword Clue,