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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

April 2017

Behavioral Health to Be Offered via Telemedicine

Doctor On Demand’s behavioral health providers are now available to serve Harvard Pilgrim members. As we communicated in the June 2016 issue of Network Matters, Harvard Pilgrim has partnered with Doctor On Demand to provide medical care to our members through the use of telemedicine, which provides real-time communication between a provider and a patient via synchronous, interactive audio and video telecommunications systems.

Members have received information about Doctor On Demand and can access their services by setting up an account on the Doctor On Demand webpage for Harvard Pilgrim members, or by downloading the app. In support of care coordination, any Harvard Pilgrim member who uses Doctor On Demand’s medical or behavioral telemedicine services can elect to have a visit summary forwarded to his or her PCP.

In addition, other providers in our network may also provide telemedicine services, as outlined in our Evaluation and Management Payment Policy. If you have any questions, please contact the Provider Service Center at 800-708-4414.

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Network Matters Archives

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CVS Specialty Becomes New Preferred Specialty Pharmacy in July

Boston Medical’s Industry-Leading Transgender Care and Provider Education

Behavioral Health to Be Offered Via Telemedicine


Updated Medical Review Criteria for Rituxan

Bronchial Thermoplasty Now Covered With Prior Authorization

Complex Case Management Services

Disease Management Programs Reinforce Physician Treatment Plans

P&T Committee Updates

Identifying and Treating Postpartum Depression


Harvard Pilgrim’s Maximum Units Per Day Policy

Payment Policy Update: Anatomical Modifiers

Payment Policy Update: Billing Consultation Codes 99241-99245

Payment Policy Update: Fetal Anatomical Ultrasound

Payment Policy Update: Pelvic/Transabdominal and Transvaginal Ultrasounds

HPHConnect: Inactive Account Management


Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,

Joseph O'Riordan,

Kristin Edmonston,
Production Coordinator