In the last two years, the Centers for Medicare & Medicaid Services (CMS) and many states have issued new guidance and regulations on maintaining and updating data in Provider Directories in a timely manner.
It is critical that members have accurate information about your practice, so they can make informed decisions about their health care options. Please report changes to your address, panel status (whether your practice is accepting new patients), institutional affiliations, phone number and other practice data in a timely manner.
In Harvard Pilgrim’s online Provider Directory, you can review the information we currently have for your practice—including panel status and practice address—to ensure that everything is current. In addition, to improve patient experience and maximize directory accuracy, please share this information with the appropriate staff in your practice and request that they also review this information.
If you need to update your panel status or any other information, please fill out a Provider Change Form and submit it to Harvard Pilgrim’s Provider Processing Center by email at PPC@harvardpilgrim.org; notification of panel status changes should be submitted at least 30 days in advance. For any further questions, call the Medicare Advantage Provider Service Center at 888-609-0692 or the commercial Provider Service Center at 800-708-4414.