We understand that the foundation of offering exceptional behavioral health care to our members starts with you! Our whole-health network emphasizes a connection between behavioral and physical health. We’re committed to delivering a best-in-class provider experience with support and resources to minimize your non-clinical burden. Please explore the tools, resources, and trainings offered on this site to support you in caring for our members.
Help with submitting claims via HPHConnect
Getting started with submitting claims to Harvard Pilgrim Health Care via HPHConnect? Check out our new short video guiding you step-by-step through the process or refer to Harvard Pilgrim Health Care’s Professional Claims Submission Guide. For additional guidance, join one of our Behavioral Health Trainings, refer to the HPHConnect User Guides, or view our other quick training videos at your convenience!
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Harvard Pilgrim Health Care Quick Reference Guide
New to the Harvard Pilgrim Health Care network? You’ll find all the information you need to get started in this handy Behavioral Health Quick Reference Guide for Providers. Keep it nearby and share with office staff! It includes tips on using our secure portal, verifying member eligibility, submitting claims and checking claims status, and more!
View and save the guide
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Billing update for Specialized Community Support Program Services
If you provide Specialized Community Support Program Services for Homeless Individuals (CSP-HI) to eligible members residing in a medical respite program, you can begin billing for these services as early as the first day that the member is admitted to the medical respite program.
Coverage update for mental health wellness examinations
We’re pleased to share that effective for dates of service beginning March 31, 2024, mental health wellness exams performed by a primary care provider or licensed mental health professional will be covered annually—at no cost—to eligible members of Massachusetts Harvard Pilgrim Health Care Commercial, Tufts Health Plan Commercial, and Tufts Health Direct plans.
Elder abuse and neglect reporting
According to the National Council on Aging, nearly 1 in 10 Americans have suffered some form of elder (age 60+) abuse which includes physical, sexual, and emotional abuse; caretaker and medical neglect; financial exploitation; and self-neglect. As you know, the health care setting, including appointments with primary care providers, offers a crucial opportunity to screen for elder abuse.
Resources at your fingertips
Join our BH network
We offer strong relationships, competitive rates, and a steadfast commitment to delivering a positive provider experience.
Sign up for a training
You’re invited to join us for training sessions tailored for behavioral health providers.
Service Navigation program
Our Behavioral Health Service Navigation program helps connect members with timely access to outpatient care.