Healthcare providers face constant challenges in managing patient information and claims efficiently. The Health Plans Inc. (HPI) Provider Portal emerges as a comprehensive solution, offering streamlined access to critical patient benefits and eligibility information.
Official Links
What is the HPI Provider Portal?
The HPI Provider Portal is a digital platform designed to help healthcare providers quickly verify patient eligibility, check claim status, and access essential patient information. Recently, HPI has undergone a significant system enhancement, upgrading its eligibility portal from WEBeci to MESA, providing improved functionality and user experience.
Key Features and Services
Patient Eligibility Verification
Providers can:
- Check patient benefit information
- Verify insurance coverage
- Access real-time eligibility status
Claims Management
- Submit claims electronically
- Check claim status
- Access submission addresses and electronic payor IDs
Access and Login Process
Portal Access Requirements
- Providers must use the “Provider Portal Start Page” form
- Credentials are required for MESA portal access
- Providers can request credentials directly on the login page
System Notes
- Routine maintenance occurs every Sunday at 1:00 AM (ET)
- Potential brief downtime during maintenance periods
Privacy and Security
Important Considerations
- Providers must use the official portal start page
- Delete any existing bookmarked URLs
- Follow provided registration instructions carefully
Claim Submission Details
Submission Methods
- Mail: Health Plans, Inc., PO Box 5199, Westborough, MA 01581
- Electronic Submission:
- HPHC Payer ID: 04271
- WebMD Payer ID: 44273
Additional Resources
Tutorial and Support
- Provider Portal Tutorial video available
- Detailed MESA and WEBeci portal instructions provided
- Credentials can be requested directly on the login page
Contact Information
Corporate Headquarters:
- Address: 1500 West Park Drive, Suite 330, Westborough, MA 01581
- Phone: 508-752-2480
- Toll-free: 800-532-7575
- Fax: 508-754-9664
Unprovided Information
Some specific details were not explicitly available in the source documents, such as:
- Detailed step-by-step login process
- Comprehensive list of all portal features
- Specific mobile app download instructions
The HPI Provider Portal represents a critical tool for healthcare providers, offering secure, efficient access to patient benefits and claims information. By leveraging this digital platform, providers can streamline administrative processes and focus more on patient care.
Note: Always refer to the most current official documentation for the most up-to-date information about the HPI Provider Portal.
FAQ
Is HPI an insurance company?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 company is HPI?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 Pilgrim’s high-quality provider network with a greater level of administrative flexibility to help minimize health care costs.
Is HPI part of Harvard Pilgrim?
Is there a Cigna Medicare provider portal?Availity Essentials is now Cigna Healthcare® Medicare Advantage’s provider portal. Cigna Healthcare® Medicare Advantage is always looking for ways to simplify business processes and improve your online experience, giving you access to the information and tools you need most.
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.
https://www.healthplansinc.com/providers/check-eligibility-or-claim-status/
Important: Use the “Provider Portal Start Page” form below to access your patient’s eligibility information and delete any existing bookmarked URLs. HPI is