Verify Health Plans Incorporated eligibility in real time.
Health Plans Incorporated supports electronic real-time eligibility. Send the check to payer ID 44273 and the full benefits picture comes back in under a second, before the patient sits down.
Also billed as: HPI · Harvard Pilgrim · Health Plans, Inc.
Under 1 second
The same Health Plans Incorporated check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
4 billing names
Health Plans Incorporated shows up on cards under 4 names. Every one routes to payer ID 44273, and so do 6 older payer IDs still printed on cards. No guessing which card this is.
29 Health plans
verify in real time through Valian. One setup covers the whole Health family, Health Plans Incorporated included.
First month free
Then $2.50 a check, only when you run one. No seat fees, no platform fee, no contract. Cancel any time.
The phone way
Call, hold, transcribe, repeat.
Verifying Health Plans Incorporated by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID 44273, under a second.
The same check, sent electronically. Valian runs it automatically for every patient on the schedule before the day starts, and flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Under a second |
| When it happens | Day of, squeezed between patients | Before the day starts, automatically |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a Health Plans Incorporated eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where Health Plans Incorporated reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in under a second · payer ID 44273
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Sign up
About ten minutes: create the account, sign the agreement, and your free first month starts.
Connect your system
We connect your practice management software with your office manager. Open Dental, Dentrix, Eaglesoft, and more.
Checks run themselves
Every patient on the schedule gets verified automatically before their visit, Health Plans Incorporated included. Your team just reads the results.
Under half an hour of your time all in. See the full walkthrough on the insurance verification page.
What Health Plans Incorporated supports electronically
- Real-time eligibility (270/271)
- Yes, under a second
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not offered electronically
- Claim status (276/277)
- Not offered electronically
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically within hours
- Electronic funds transfer
- Yes, after enrollment
- Claim attachments
- Not offered electronically
Names and IDs this payer goes by
Health Plans Incorporated · HPI · Harvard Pilgrim · Health Plans, Inc.. Older cards may show payer ID 00412, 10802, 1889, 1909 and HLPLNS. All of them route to payer ID 44273.
Payer site: hpitpa.com
How to verify Health Plans Incorporated, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID 44273.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. Valian does all four automatically, before every visit.
Health Plans Incorporated, quick answers
Does Health Plans Incorporated support real-time eligibility?
Yes. Eligibility checks to Health Plans Incorporated clear electronically in under a second through payer ID 44273.
What payer ID do I use for Health Plans Incorporated?
44273 for eligibility transactions. The same payer also appears on cards as HPI, Harvard Pilgrim, Health Plans, Inc..
What does a check cost with Valian?
$2.50 per verification, run automatically before every appointment. Your first month is free, with no contract and no seat fees.
Does Health Plans Incorporated require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Can I get Health Plans Incorporated remittances electronically?
Yes. Health Plans Incorporated sends electronic remittance advice (835) after a multi-step enrollment, typically within hours.
What if the patient's card shows a different Health name?
Alternate billing names route to the same payer ID, 44273. The check resolves them automatically.
More questions about verifying Health Plans Incorporated? Schedule 15 minutes with us and bring your toughest plan.
Every Health Plans Incorporated patient, verified before they walk in.
First month free, then $2.50 a check. No seat fees, no platform fee, no contract.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
The Health family in the network
29 Health plans verify in real time through Valian.
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- Verify Health Partners Plans eligibility
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- Verify Health Plan of Nevada eligibility
- Verify Health Plan of San Mateo eligibility
- Verify Health Plan of Upper Ohio Valley eligibility
- Verify Health Share of Oregon eligibility
- Verify Healthcare Management Administrators (HMA) eligibility
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.