Harvard Pilgrim Health Care Home
  Learn more.
  Sign up for HPHConnect.
Medical Management
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Office Support
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
Print    Text Size

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

October 2017

Harvard Pilgrim’s New “Estimate My Cost” Transparency Tool

Harvard Pilgrim is developing a new medical cost transparency tool, which will replace Now iKnow on Jan. 1, 2018. It will provide a simpler, more user-friendly experience for members making health care decisions, while complying with cost transparency tool requirements in Massachusetts, Maine, and Connecticut.

We are developing the interactive new tool in partnership with Health Trio — a leading provider of web-based solutions in the health care market and a longtime partner of Harvard Pilgrim. Health Trio also powers HPHConnect, our robust set of self-service web tools for members and providers.

The tool will be available on Harvard Pilgrim’s member website, and will have the same look and feel as the rest of the website. It will also be mobile-friendly, allowing members to use it on their phone, tablet, or computer. Members can access the tool, which will be accessible via the “Estimate My Cost” link, from various points on the Harvard Pilgrim website, including the “Top Tasks” list on the Member Dashboard, the “Tools & Resources” tab, and HPHConnect.

“Estimate My Cost” will be available to members of all our commercial products, including ElevateHealth, New Hampshire LP, and Maine’s Choice. In addition, we’re expanding access to the tool to include members of our commercial plans in Connecticut.
The tool will include cost information on a variety of services and procedures, including physician services, preventive care, radiology, laboratory, and inpatient and outpatient procedures.

It will also contain more extensive search capabilities. Users can search by a provider’s name or specialty within a specified geographic area and see the average office visit cost for that provider, or they can enter in a search term and the results will include a list of services associated with that term. For example, if a user entered “back pain,” the search results may include back surgery, acupuncture, etc. There will also be an A-Z listing of services, so users can select a service from that list, as well as an option to narrow the search by facility.

These search capabilities make it easier for members to compare providers and services and print a cost estimate to help them make informed health care decisions.

Now iKnow will remain available to Harvard Pilgrim members through Dec. 31, 2017. For any questions, please contact Harvard Pilgrim’s Provider Service Center at 1-800-708-4414.

Email this article to a colleague   

Network Matters Archives

Download printer-friendly version


Harvard Pilgrim’s New “Estimate My Cost” Transparency Tool

Medicare Advantage: Important Information about Jimmo Settlement

Medicare Advantage Policy Updates for 2018

New Products and Benefits for 2018


Prior Authorization for Hip, Knee, and Shoulder Surgeries

Updates to Cholecystectomy Medical Review Criteria

Synagis for Upcoming RSV Season

Therapeutic Yoga for Chronic Pain and Other Conditions

P&T Committee Updates

Specialty Pharmacy Program Updates

ADHD Diagnosis and Follow-up Care


Reporting Modifier 50 for Bilateral Procedures

2018 CPT and HCPCS codes


Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Senior Vice President, Network Strategy

Annmarie Dadoly,

Joseph O'Riordan,

Kristin Edmonston,
Production Coordinator