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Delayed or Reduced Payment Schedule and Other Alerts
Provider News and Announcements
Health New England is currently experiencing an issue with our membership and PCP allocation, which is impacting PCP affiliations when checking eligibility. We are currently working to correct this issue. This may result in a delayed or reduced payment schedule next week. We will provide a status update when resolution has occurred, or no later than end of day Monday, May 12.
For urgent questions on this matter, please contact our Provider Experience team at 413-787-4000 or 800-842-4464, ext. 5000, or email ProviderRelations@hne.com.
We share the same goal as our providers – to provide patients with better health and well-being.
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.