Healthcare providers need efficient, streamlined systems to manage patient information and claims processing. The Health Plans, Inc. (HPI) Provider Portal offers a comprehensive digital solution designed to simplify administrative tasks and enhance provider workflow.
Official Links
What is the HPI Provider Portal?
The HPI Provider Portal is a digital platform that enables healthcare providers to:
- Access patient benefits
- Check claims and eligibility
- Submit precertification requests
- Access important forms
- Manage referrals
Who Can Use the Portal?
Healthcare providers, including:
- Medical practices
- Clinics
- Hospitals
- Specialized healthcare providers
Accessing the Provider Portal
Portal Access Options
- Provider Portal Start Page: Providers can access the portal through the dedicated start page
- Two System Options:
- MESA (New Enhanced System)
- WEBeci (Legacy System)
Login Process
- Visit the Provider Portal Start Page
- Select appropriate portal based on patient’s plan
- Request credentials on the login page if needed
Key Features and Services
Patient Information Management
- View patient benefits
- Check pre-certification requirements
- Verify network details
Claims Management
- Check claims status
- Submit claims electronically
- Access claim submission addresses
Referral Management
- Submit referrals for specific members
- Access referral portal
System Updates and Maintenance
Core System Enhancement
- Upgraded from WEBeci to MESA
- Improved eligibility portal functionality
Maintenance Schedule
- Routine system maintenance every Sunday at 1:00 AM (ET)
- Brief potential downtime during maintenance window
Claim Submission Details
Electronic Submission
- Payer ID Options:
- HPHC Payer ID: 04271
- WebMD Payer ID: 44273
Mailing Address
Health Plans, Inc.
PO Box 5199
Westborough, MA 01581
Privacy and Security
While specific security details are not provided in the source documents, providers should:
- Use official HPI portal links
- Protect login credentials
- Follow standard healthcare data protection protocols
Customer Support
Contact Information
- Phone: 508-752-2480
- Toll-free: 800-532-7575
- Fax: 508-754-9664
Unprovided Information
The following details were not explicitly available in the source documents:
- Detailed security protocols
- Specific app download instructions
- Comprehensive billing portal features
The HPI Provider Portal represents a robust digital solution for healthcare providers, offering streamlined access to critical patient and claims information.
Disclaimer: This information is based on available documentation from Health Plans, Inc. as of August 2025. Providers should always verify current procedures and requirements directly with HPI.
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://hpitpa.com/your-resources/for-providers/
Are you an HPI provider? Access secure tools, resources and provider-specific information to easily manage administrative tasks online.