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Harvard Pilgrim Health Care

Primary payer ID
04271Compare transaction IDs ↓
Last successful claim statusWithin the past monthObserved across Substrate's claim-status network.
Currently not answeringEDI 276/277EDI 270/271

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Coverage profile

How Substrate can help you with Harvard Pilgrim Health Care

Substrate can help practices and billers with the following claims tasks for Harvard Pilgrim Health Care.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Harvard Pilgrim Health Care.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Harvard Pilgrim Health Care.

Available

Frequently asked questions

Harvard Pilgrim Health Care payer FAQs

How do I check claim status with Harvard Pilgrim Health Care?

Providers check Harvard Pilgrim Health Care via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Harvard Pilgrim Health Care?

The primary payer ID for Harvard Pilgrim Health Care is 04271. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for Harvard Pilgrim Health Care?

The 837P and 837I payer ID for Harvard Pilgrim Health Care is 04271 via Stedi.

What is the 835 payer ID for Harvard Pilgrim Health Care?

The 835 payer ID for Harvard Pilgrim Health Care is 04271 via Stedi.

What is the 270 payer ID for Harvard Pilgrim Health Care?

The 270 payer IDs for Harvard Pilgrim Health Care are 04271 via Stedi and 100141 via Availity.

What is the 276 payer ID for Harvard Pilgrim Health Care?

The 276 payer IDs for Harvard Pilgrim Health Care are 04271 via Stedi and 100141 via Availity.

What states does Harvard Pilgrim Health Care operate in?

Harvard Pilgrim Health Care operates in MA, ME, NH, RI, and VT.

Resource library

Routing reference

Harvard Pilgrim Health Care payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Harvard Pilgrim Health Care payer name, operating states, and transaction-specific payer IDs
Payer nameHarvard Pilgrim Health Care
Operating statesMA, ME, NH, RI, VT
837P professional claims payer IDStedi04271
837I institutional claims payer IDStedi04271
835 ERA payer IDStedi04271Enrollment required
270 eligibility payer IDStedi04271
270 eligibility payer IDAvaility100141
276 claim status payer IDStedi04271
276 claim status payer IDAvaility100141

Payer contact directory

Harvard Pilgrim Health Care phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Other stated context phone
(617) 436-3500HARVARD PILGRIM HEALTH CARE
Harvard Pilgrim Health Care payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(617) 436-3500Other stated contextBenefit context: Primary Care Provider
  • HARVARD PILGRIM HEALTH CARE
  • NEW ENGLAND IRON WORKERS HEALTH AND WELFARE FUND
phone(800) 532-7575
  • Health Plans Inc
phone(800) 708-4414
  • HARVARD PILGRIM HEALTH CARE
phone(888) 257-1985
  • Harvard Pilgrim Health Care
phone(888) 884-2404
  • Harvard Pilgrim Health Care

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 04271
  • 100141
  • 10376
  • 16570
  • 2742
  • 6512
  • HPHC0001
  • HPHCS
  • HRVPGM
  • Health Plans Inc - HPI
  • Point32Health
  • UnitedHealthcare - Harvard Pilgrim
  • HARVARD PILGRIM HEALTH CARE (A POINT32HEALTH COMPANY)