Verify patient eligibility and check the status of submitted claims through our online services below. New users to the Provider Portal can create an account by selecting the Provider Access Link on the portal login page.
Claim Turnaround Times
Need to submit a claim? Review the claim submission address or electronic payor ID # on the back of the patient’s member ID card.
For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks.
Health Plans, Inc.
PO Box 5199
Westborough, MA 01581
You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273.
Looking for information on timely filing limits? Please contact the member's participating provider network website for specific filing limit terms.