Harvard Pilgrim Health Care (Point32Health)

Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

appeals grievances

Provider claim appeals — Harvard Pilgrim commercial

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

commercial
Massachusetts · Maine · New Hampshire · Connecticut

Mailing address
Harvard Pilgrim Health Care P.O. Box 699183 Quincy, MA 02269-9183

Commercial provider claim appeals (Claims Review Form).

Complete a Claims Review Form and mail it, or start a request in the provider portal. Passport Connect, Health Plans, Inc. and Student Resources members follow those administrators' processes. Flyer dated March 2026.

View source ↗ · Source checked 2026-10-25

Report an update

Help the next office

How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

Share a call experience

Share a call experience

Suggest a contact correction

Suggest a correction

Call preparation · editorial guide

Make the call count.

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

Have ready in your secure workspace

  • Denial notice, remittance and reason codes
  • Previous appeal confirmation and decision
  • Supporting evidence and any required authorization to represent the member

Questions to resolve

  • Is this a claim correction, provider dispute or member appeal?
  • What deadline and submission channel apply to this case?
  • How can the office confirm receipt and track the decision?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

A request does not create an account or start a call. Use business contact information only. No patient information.

See how it could work for your practice