Harvard Pilgrim Insurance Phone Number and Claim Address (2021)

Harvard Pilgrim Insurance Phone Number for Claims

1-888-333-4742

Main number(888) 888-4742
(617) 509-1000
TTY: 711

Harvard Pilgrim Insurance Phone Number for Members

Member Services888-333-4742
Mon., Tues. & Thurs. 8 a.m. – 6 p.mTTY: 711
Wed. 10 a.m. – 6 p.m.
Fri. 8 a.m. – 5:30 p.m.
Behavioral Health Access Center Phone Number888-777-4742
(behavioral health eligibility, benefits and claims)
Mon. – Fri. 8 a.m. – 6 p.m.
For Medicare Advantage Plan888-609-0692, TTY-711
Oct 1 – to March 31(8 a.m. – 8 p.m.  7 days a week)
Apr1 – Sept 30 (8 AM to 8 PM Mon to Fri)
Medicare Supplement Plan
Mon, Tues & Thurs. 8 AM to  6 PM
Wed- 10 AM to 6 PM
Friday- 8AM to 5.30PM
Fraud, Waste and Abuse Hotline617-509-1029, Fax- -617-509-0938 

Harvard Pilgrim Insurance Phone Number for Providers:

Provider Service Center800-708-4414, choose option # 1 then 7
Mon, Tue, Wed & Fri.  8AM – 5PM
Thursday- 8:30AM- 5PM
Behavioral Health Access Center888-777-4742
Mon to Friday – 8Am to 6PM
Medicare Advantage Plan888-609-0692
Oct 1  to March 31 ( 8Am to 8PM all days in week)
Apr. 1 – Sept. 30 (Mon to Friday 8Am to 8PM)

Harvard Pilgrim Insurance Phone Number for Brokers:

Broker Employer Service Team800- 424-7285 , choose option # 2
(eligibility, billing, benefits and claims)
Mon to Fri 8 AM to 5 PM
Closed for training on Wed 8.30 AM to 10 AM)
Broker Relations800-424-7285, choose option # 1
Call for credentialing, licensing and commissions
Mon to Fri (8.30 AM to 5 PM)
Medicare Advantage Plan800-424-7285, choose option # 3
Oct. 1  to March 31
8 AM to 8 PM (All 7 days in a week)
Apr. 1 – Sept. 30
8 AM – 8 PM.  Mon to  Fri (5 days in a week).
Medicare Supplement Plan800-424-7285,choose  option # 3
Mon., Tues. & Thurs.  8AM – 6PM
Wed- 10 AM to 6 PM
Friday- 8 AM to 5.30 PM

Harvard Pilgrim Insurance Phone Number for Employers:

Broker Employer Service Team800-637-4751, choose option # 1
(For eligibility, billing, benefits and claims)
Mon – Friday (8 Am to 5 PM)
Closed on Wed 9 AM to 10 AM

Harvard Pilgrim Healthcare Paper Claim Submission Address

Claim TypeAddress
Commercial (HMO, POS, PPO) and Medicare Enhance (including ancillary and DME claims), Harvard Pilgrim Health Care
P. O. Box 699183
Quincy, MA 02269-9183
Medicare Supplement and Access America (Service performed in
MA, ME and NH) and HPHC Choice Plus
Harvard Pilgrim Health Care
P. O. Box 699183
Quincy, MA 02269-9183
All behavioral health servicesUnited Behavioral Health/Optum
P. O. Box 30602
Salt Lake City, UT 84130
Access America (Service performed outside of MA, ME and NH) UnitedHealth Integrated Services
PO BOX 30783
Salt Lake City, UT 84130-0783
StrideSM (HMO) Medicare Advantage PlansHPHC Inc. c/o Stride Claims Processing
P.O. Box 151288
Tampa, FL 33684-1288
Student Insurance PlanHarvard Pilgrim Health Care/ StudentResources
P.O. Box 809025
Dallas, TX 75380-9025
Pharmacy claims (excluding drugs paid under a medical benefit)Medimpact
10680 Treena St., 5th Floor
San Diego, CA 92131

Harvard Pilgrim uses optical character recognition (OCR) technology for imaging of paper claims so need to take care of some points during Harvard Pilgrim paper claim submission.

Note:

  • Professional claim should be submitted on HCFA-1500 or CMS 1500
  • Facility or hospital claim should be submitted on UB-04
  • Dental claim should be submitted on ADA J400 Dental Claim Form

What should do to submit Harvard Pilgrim Paper Claims:

  • Use proper PO Box number to submit paper claims.
  • Fill all fields completely, accurately, and within the designated box on the form.
  • Submit all claims on the standard red and white form.
  • Use only Blue and Black ink.

What should not to do to submit Harvard Pilgrim Paper Claims:

  • Handwritten claim should not be accepted.
  • Do not use red ink on claim form.
  • Do not overwrite or any unnecessary mark on claim form.
  • Do not highlight any field of claim form.
  • Not accepted photo copy claim forms.
  • Not accepted carbon copy claim forms.
  • Not accepted claims submitted through Fax.

Harvard Pilgrim Insurance Official Website Link:

www.harvarddpilgrim.org

Harvard Pilgrim Insurance Phone Number and paper claim address updated as per latest information from authorized portals and resources, if any discrepancy found please let us know through the contact us page. We will take care of it surely. Thanks

Related Article:

Kaiser Permanente Phone Number and Claim Addresses