Healthcare providers seeking efficient patient information management can leverage the Health Plans Inc. (HPI) Provider Portal, a comprehensive digital platform designed to streamline critical administrative tasks and enhance patient care coordination.
Official Links
What is the Provider Portal?
The HPI Provider Portal is a robust online system that enables healthcare professionals to:
- Access patient benefits information
- Check patient eligibility
- Submit and track claims
- Manage referrals
- Access essential forms and resources
Who Can Use It
The portal is specifically designed for:
- Healthcare providers
- Medical practices
- Clinic administrators
- Referral network professionals
Portal Access and Login
Recent System Update
HPI has recently upgraded its eligibility portal from WEBeci to MESA, requiring providers to:
- Use the “Provider Portal Start Page”
- Enter patient information
- Be routed to the appropriate eligibility portal
- Request credentials if needed
Key Features
Patient Benefit Verification
Providers can quickly:
- Enter patient information
- View summary of benefits
- Search provider networks
- Access prescription benefit information
- Print temporary ID cards
Claims Management
- Submit claims electronically
- Check claims status
- Review submission addresses
- Understand filing timelines
Electronic Submission Options
- Mailing address: Health Plans, Inc., PO Box 5199, Westborough, MA 01581
- Electronic payer IDs:
- HPHC payer ID: 04271
- WebMD payer ID: 44273
System Maintenance
Note: Routine system maintenance occurs every Sunday at 1:00 AM (ET), which may cause brief service interruptions.
Security and Privacy
While specific portal security details were not comprehensively outlined in the source documents, HPI emphasizes:
- Secure access protocols
- Patient information protection
- Compliance with healthcare data regulations
Support and Registration
Credential Management
- Request credentials on the login page
- Watch the “Provider Portal Instructions – MESA” video for registration guidance
Contact Information
- Phone: 508-752-2480
- Toll-free: 800-532-7575
- Fax: 508-754-9664
Unprovided Information
Some details not explicitly covered in the source documents include:
- Detailed security protocols
- Comprehensive step-by-step login instructions
- Mobile app availability
- Specific user interface screenshots
The Health Plans Inc. Provider Portal represents a critical digital tool for healthcare providers, offering streamlined access to patient information, claims management, and administrative resources.
Recommendations
- Watch the MESA portal instruction video
- Prepare necessary patient information before accessing
- Keep login credentials secure
- Check portal during non-maintenance hours
Note: Always refer to the most current portal instructions and contact HPI support for the most up-to-date information.
FAQ
What kind of insurance is health plans inc?Health Plans, Inc. (HPI) is a national Third Party Administrator (TPA) of self-funded health and benefit plans. We were founded in 1981 to provide comprehensive health plan administration to employers, municipalities and Taft-Hartley plans.
What network does Health Plans Inc. use?We partner with multiple provider networks, including United Healthcare, Cigna, EHN and Prime Health Services to give the patient the best access to care in their area.
Is Health Plans Inc. part of Harvard Pilgrim?
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Health Plans Inc.https://bmc.healthplansinc.comOur Story – Health Plans Inc.Health Plans, Inc. (HPI) is a Harvard Pilgrim Health Care company. We manage employee health benefit plans for employers who want the accessibility of Harvard P…
Is the health plan of San Joaquin the same as Mountain Valley Health Plan?Health Plan of San Joaquin/Mountain Valley Health Plan is the leading Medi-Cal managed care provider in San Joaquin and Stanislaus Counties, now serving Medi-Cal members in Alpine and El Dorado Counties.
https://healthplansinc.com/providers/patient-information-login/
Enter the patient’s information below to view your patient’s Summary of Benefits, search their provider network, get connected to their Rx benefit information
https://hpitpa.com/your-resources/for-providers/check-claims-eligibility/
Access patient eligibility and benefits information using HPI’s secure portal for providers, including the status of your submitted and processed claims.