Harvard Pilgrim Provider Portal

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Updated: June 08, 2022

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Harvardpilgrim.org

FAQs

1

Is Harvard Pilgrim part of UnitedHealthcare?

Provider coverage includes Harvard Pilgrim's network in the six New England states, and our national network partner, UnitedHealthcare Options for the remaining states.
2

Is Harvard Pilgrim under optum?

The new collaboration between Harvard Pilgrim and OptumRx further broadens a long-term strategic relationship Harvard Pilgrim has with Optum, including several program partnerships such as Optum Behavioral Health.
3

What is Harvard Pilgrim under?

Harvard Pilgrim Health Care was formed in 1994 from the merger of the Harvard Community Health Plan (HCHP) and the Pilgrim Health Plan. ... As Harvard Medical School's Department of Population Medicine, the Institute is the only appointing department of a U.S. medical school housed within a health plan.
4

How do I submit a claim to Harvard Pilgrim?

Call 1-888-333-4742 (TTY: 711).
5

Does Harvard Pilgrim cover out of state?

Harvard Pilgrim covers unexpected or unforeseen care, such as for earaches, flu, etc. when you're traveling outside the state in which you live. Many preventive tests and services are also covered at no charge.
6

Is Harvard Pilgrim part of Blue Cross?

Blue Cross Blue Shield of Massachusetts (BCBSMA) has the largest provider network in New England, including most providers currently used by Harvard participants in the Harvard Pilgrim Health Care Plan (HPHC) network and many more.
7

Is Harvard Pilgrim good?

“They have to be extremely good.” Harvard Pilgrim Health Care was the number one commercial plan in America in a joint ranking by U.S. News & World Report and the NCQA.
...
Tough Neighborhood.
NCQA's top 5
Harvard Pilgrim Health Care of New England New Hampshire 90.6
Blue Cross Blue Shield of Massachusetts Massachusetts 89.0
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Mar 23, 2021
2. Ikaenterprise.com

Harvard Pilgrim HealthCare

https://hphc02-portals.ikaenterprise.com/

For help with the use of this website, you may contact our Provider Relations Dept. @ 888-609-0692. Otherwise, type your user Login Id and Password and ...

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