Members Employers Providers Brokers BECOME A PROVIDER If you currently are not affiliated with one of Health New England’s Provider Hospital Organizations and would like to become an Health New England participating provider, please submit a letter of intent. This letter should include: A description of the services offered by the prospective provider Service Area (full address) (include all locations you would like to be considered for inclusion in our Network) Specialty training Service availability (office hours/availability) Any specialty information (including bi‐lingual) A resume or Curriculum Vitae (CV) Indicate if the provider has admitting privileges to any hospital(s); If yes, indicate the name(s) of the hospital(s) Indicate if the provider is currently treating any Health New England members; If yes, please indicate how many members the provider is treating Indicate if provider is properly accredited, if applicable (e.g. Radiology/Imaging or Sleep Study providers) and provide a copy of appropriate certification Indicate if the provider participates with MassHealth and/or Medicare Contact information (please include email) Indicate if you E‐Prescribe State if you have Electronic Medical Records Any additional information that will help Health New England to make the decision ATTENTION SNF/ECFs and FACILITIES: Please include your insurance liability information with your LOI Please email, fax or mail us the Letter of Intent (LOI) to : Email: pcontracting@hne.com Fax: 413-233-3175 Mail: Health New England Attn: Provider Contracting One Monarch Place, Suite 1500 Springfield, MA 01144 We will review your letter and make a decision based on the information you provide and our current needs. The review period for a decision is approximately 6 to 8 weeks from the date the letter was received by Health New England. Once we make a decision, or if we need more information, we will contact you either by phone or mail. If you have any questions, please email Provider Contracting at pcontracting@hne.com. Note: Applicable to Medical Providers: If a provider is currently participating with an Individual Practice Association (IPA) or Physician Hospital Organization (PHO) the provider must contact the IPA or PHO to discuss the process to join the HNE network. Health New England One Monarch Place, Suite 1500 Springfield, MA 01144 - 1500 Hours of Operation: 8:00 a.m. - 5:00 p.m. Member Services Hours: 8:00 a.m. - 6:00 p.m. Monday - Friday Walk-In Hours: Due to COVID-19, we are not accepting walk-ins at this time. Contact Member Services Direct Line: (413) 787-4004 Toll Free: (800) 310-2835 TTY: 711 Privacy & Disclaimer Statement Notice of Privacy Practices Interoperability APIs HNE Associates Copyright © 2021 Health New England, Inc. All Rights Reserved Members Employers Brokers Providers Interoperability APIs