Harvard Pilgrim

Please follow the Enrollment Instructions below to become an electronic submitter for Harvard Pilgrim.


Please Note: Before Harvard Pilgrim will assign you a Direct Submitter ID, you must contact them to verify if your claim volume is sufficient for a direct connection. Otherwise, you may be required to submit your claims via a clearinghouse.

To verify the claim volume requirement, please call the Harvard Pilgrim EDI Technology Support Center at 1-800-708-4414.

Required Documents, If Harvard Pilgrim allows you to Submit Direct

The following documents are required enrollment documents that must be completed, signed and returned to the Harvard Pilgrim office prior to initiation of electronic claims submission or inquiry.

1. Enrollment Form

2. Trading Partner Agreement

If the above links do not work properly, please go here to download the forms:

www.harvardpilgrim.org

If you have any questions regarding any of the documents required, please call the Harvard Pilgrim EDI Technology Support Center
at 1-800-708-4414.

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Our Vendor Information

Vendor Name - AXIOM Systems, Inc.
Contact - EDI Team
Vendor Code - N/A
Phone - 602-439-2525
Fax - 602-439-0808
Address - 241 East 4th Street, Suite 200
Frederick, MD 21701
Software Name - SolAce EMC
E-mail - Support@SolAce-emc.com

 

EDI Enrollment Form

Section 1

  • Enter your Business name, phone, fax and e-mail address
  • Enter the name and title of the contact person for your office, as well as your demographic information

Section 2

  • Place a check mark next to "Become a Trade Partner"

Section 3

  • For the 837 transactions check the boxes for SFTP
  • Choose whether you will be submitting Professional or Institutional claims or both
  • Leave the next two questions blank, since the submitter and sender ID are what you are applying for

Section 4

  • For Provider contact enter the name of your office manager and his or her phone number
  • For Vendor Contact please enter "AXIOM Systems EDI Team, 602-439-2525, Support@SolAce-emc.com"
  • Enter the information for the providers you will be billing for on the table provided

Signature Section

  • Have an authorized individual such as the Provider or Office Manager enter their Name, Title, Date and Signature

Trading Partner Privacy and Security Agreement

Complete the first paragraph on the first page of this document and complete the Contractor sections on page 6

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records. Please Fax the enrollment forms to:

1-866-884-3844

It is very important that you complete and return the entire enrollment packet as described above. Incomplete documents will not be processed and will be returned to the submitter.

Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately two weeks from the date of receipt.

After processing, a confirmation will be emailed to you as notification to begin filling claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact Harvard Pilgrim EDI Technology Support Center at 1-800-708-4414.

Testing

Once you have received your Submitter ID and Password from Harvard Pilgrim, please call the SolAce Support Team and set an appointment for a Mailbox Setup and Test Transmission.

Please have 2 batches of 40 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment, but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

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customer Testimonial

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customers From our customers

I am very pleased with our SolAce billing software and how easy it is to navigate. They have a great team who can train you to do billing even if you don’t have billing experience. Special thanks to Cathy, Gigi, and Skyler who always helps me out every time I have issues.

Shani Madaminova,
Administrator
Best Home Care, Inc
Jersey City, NJ

SolAce is awesome software. I absolutely LOVE it. For over three years I have used this software daily for multiple long term care facilities to submit claims to various MACs, Medicaid, and Medicare Advantage and Supplemental Insurance carriers. It is convenient, simple to use and far less costly than any Clearing House software I had explored. The ability to import from my Practice Management Software and Therapy Providers has reduced any RTP claims edits and denials are a thing of the past. Customer Support is “Johnny on the spot”, but terrific as they may be, it gets better - RARELY do I need to call. LOVE IT, LOVE IT, AND LOVE IT.

Susie Doran Carter, Westcare Management, Inc.
LTC Medicare Consultant and Billing Service
Salem, OR

I think our medical office was one of the first to use SolAce in the mid 1990’s and we are still using it today for all of our electronic billing because it works ! It was simple for our staff to learn and it integrated easily with our accounting/billing program. It has been especially nice to know that the Axiom staff is there when Medicare changes something and they are right on it. They made the 5010 change a simple process plus made educational seminars available to us. Thank you to all the Axiom/ Ivertex professionals who have helped us for the last 15+ years.

Carolyn Boles
From the office of Donald J. Boles Jr. MD PC
Tempe, AZ

SolAce has been a valuable tool that has been a life saver for my billing service for years. It has allowed me to bill professional and institutional claims with ease. Customer service @ SolAce is top rated in my opinion. The SolAce product is very user friendly and affordable. Thank you SolAce team for a great product.

S. Bowling
Idabel, Oklahoma

Easy to use, Customer support has always been excellent, Thanks SolAce Team.

Carl Shepherd
IT Administrator
THE WYNN GROUP, INC
Dublin, GA

I am a new client and was having a tough time getting everything set up just right. I had to make calls to CEDI and when I called back the rep I spoke with prior even helped the 2nd rep to make sure I got all the info I needed. They definitely work as a team. Within a short period of time they had my system up and running. I never could've done it without them.

Denise
Margate, FL

Awesome customer service every time!

Denise
Bellevue, NE

I can't tell you how wonderful it is to work with your agency. They are courteous, knowledgeable,friendly, and a joy to work with - I can't say enough. Thank you!!

Doreen
Bemidj, MN

The service was very good. Phone answered promptly even though it was around 6 p.m. my time. Very courteous and helpful. So far I have had really good experiences with your support team.

George
Mahornet, IL

The follow-up is outstanding - whenever there is an issue I am contacted to be sure that all is working well and to my satisfaction.

Joan
Batavia, IL

Everyone in your company is very helpful and pleasant, and they always have the quickest response time on fixing the situation.

Patricia
Orlando, FL

Tech was very helpful, very patient and very professional. She knew of the issue quickly and stayed at hand until issue was resolved. Very satisifed with the service.

Sherry
Largo, FL