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Provider Appeal Form Student Insurance Plan Member ID* Member Name Date of Service Appeal Submission Date Provider Contact Name Provider Tel. # Please note the following in order to avoid delays in.

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Call (888) 333-4742, TTY: 711. Members can send a secure email to Member Services. If you are not a Harvard Pilgrim member, you can send an email here.

Request Electronic Claim Submission To initiate a request to submit electronic claims directly, contact the EDI Team at edi_team@point32health.org or call the EDI Team at 800-708-4414, option 1, option 3. Harvard Pilgrim does not require pre-enrollment for electronic claims submitted through a clearinghouse.

A Point32Health company Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. Together, we're delivering ever-better health care experiences to everyone in our diverse communities.

Go to .harvardpilgrim.org and select Member Login. Top Tasks, select Change my PCP. Click the Change PCP button next to the member whose PCP you want to change.

Harvard Pilgrim Health Care P.O. Box 699183 Quincy, MA 02269.

Call: (888) 609-0692, TTY 711. Fax: (617) 509-4232. Mail. Harvard Pilgrim Health Care. Medicare Advantage Stride. Appeals & Grievances. P.O. Box 328. Canton, MA 02021.

Filing limit appeals must be received within 90 days of the original EOP date. Any appeal received after the applicable appeal filing limit will not be considered and cannot be re-appealed.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232