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

November 2017

Accident/Injury Questionnaire for Members


As a reminder, a copy of our Accident/Injury Questionnaire is available on our website. Members are required to complete this form if a claim may be related to an accident, in which case the financial responsibility may reside with another insurer, such as an auto insurer or worker’s compensation program. This information is required in order for the claim to be processed.

While Harvard Pilgrim mails this questionnaire to members with an explanatory letter in the appropriate cases, some providers have also requested access to this form to assist their Harvard Pilgrim patients who may need it and to help expedite processing of these claims. You’ll find this questionnaire in the following places on our website:

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HPHCURRENT EVENTS

Streamlining Provider Enrollment and Credentialing Processes

Webinar for Genetic Testing Authorization

2018 Star Ratings Measure Quality and Patient Satisfaction

CLINICIAN CORNER

Update: 3D Mammography Coverage

Update: Commercial Medical Transportation Policy

Members’ Rights and Responsibilities

PCPs and Behavioral Health Care Providers — Working Together

OFFICE ASSISTANT

Clarification on Inpatient Acute Medical Admissions Policy

Update to Evaluation and Management Payment Policy

Accident/Injury Questionnaire for Members

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Senior Vice President, Network Strategy

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator