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

August 2017

Highlights
Harvard Pilgrim Selects MedImpact Direct as New Mail-Order Pharmacy

Harvard Pilgrim has chosen MedImpact Direct as our new mail-order pharmacy, effective Oct. 1, 2017 for our commercial and Medicare Advantage plans.

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New Sleep Program Reminder and FAQ

As a reminder, effective Sept. 1, 2017, Harvard Pilgrim is updating our sleep studies and sleep therapies authorization program.

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New Extended Care Facility Prior Authorization Request Form

To make the process of requesting authorization for extended care services faster and more efficient, Harvard Pilgrim has developed an authorization request form.

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Harvard Pilgrim 270/271 Eligibility Response Enhancements

Harvard Pilgrim has made improvements to our 270/271 eligibility response transactions to make certain information more quickly and easily accessible for providers.

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Network Matters Archives

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HPHCURRENT EVENTS

Harvard Pilgrim Selects MedImpact Direct as New Mail-Order Pharmacy

New Sleep Program Reminder and FAQ

Institute Study: Sugary Beverages During Pregnancy Could Contribute to Childhood Obesity

Success at BMC’s Inaugural Boston Trans Health Institute

CLINICIAN CORNER

New Extended Care Facility Prior Authorization Request Form

Updates to Capsule Endoscopy Medical Policy

Billing for Services for Multiple-Gestation Pregnancies

OFFICE ASSISTANT

Reminder: Use our Dedicated StrideSM (HMO) Medicare Advantage Resources

Harvard Pilgrim 270/271 Eligibility Response Enhancements

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Senior Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator