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Change HealthCare Security Issue and Other Alerts
Provider News and Announcements
Change HealthCare Security Issue - Effective April 22, 2024: Health New England has restored access to receive 837 claims submission files from Change Healthcare. Providers can submit claims to us through this tool again. We continue to accept claims submission files from other tools noted below. Health New England has also restored capability to send Change Healthcare the 835 Electronic Remittance Advice transaction.
Learn more on HNETalk.
MassHealth/Medicaid Redetermination: MassHealth/Medicaid redetermination is underway, which may impact coverage for patients who are BeHealthy Partnership members. Please click here for more information.
COVID-19 Information
COVID-19 Vaccine: For information about the COVID-19 vaccine, visit our COVID-19 Vaccine News page.
Health New England is following the guidance detailed in EOHHS' Accountable Care Organization's All Provider Bulletin 363.
Reminder: Providers should check MassHealth's Eligibility Verification System (EVS) to understand the Member's assigned plan.
Have Questions About the Coronavirus and What’s Covered by Health New England? Read our Provider Coronavirus FAQs to learn more.
We share the same goal as our providers – to provide patients with better health and well-being.
providers
HNEDIRECT
Login to our provider portal, HNEDirect, for information about administrative procedures, plan changes, and more.
EOP/NEGATIVE BALANCE SEARCH
Learn how Contracted and Out-of-Network providers can obtain EOPs.
PROVIDERMATTERS
Our ProviderMatters news site on HNEtalk.com includes updates on Health New England policies, news and important reminders.
FORMS
From Behavioral Health Services to Clinical Requests, you’ll find what you need in our Provider Forms Library.
Tools and Resources
Provider Welcome Guide
Resources
From policies and procedures to forms and documents, visit our Resources page to help find the information you are looking for.
Provider Manual
The Health New England Provider Manual contains information, guidelines, and procedures that should be followed when rendering medical service to members and which are common to managed care in general.
Contact Information
Find key contacts to address your questions or concerns all in one location.
Coding Best Practices & Tips
Find best practices and tips associated with codes, documentation, prior approvals and awareness around compliance.
Behavioral Health
We're here to provide education and support to members experiencing mental health or substance abuse issues.
If you currently are not affiliated with one of our Physician Hospital Organizations and would like to become a Health New England participating provider, we invite you to join us.
Learn More
We have compiled a list of providers' frequently asked questions and answers that may help you with some of your own questions.
Visit our ICD-10 Resource page with information about our Roadmap, Testing Schedule, and valuable resource links.
Medicare Advantage
Health New England's Medicare Advantage plans offer comprehensive coverage with our broad network of primary care providers, specialists and hospitals in Western Massachusetts and parts of Connecticut.
Be Healthy PartnershipSM
Be Healthy PartnershipSM is Health New England’s MassHealth plan for Medicaid members. Visit the Be Healthy PartnershipSM site to learn more about this plan.