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

June 2018

Keep Panel Status and Demographic Information Up to Date

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.

Email this article to a colleague   

Network Matters Archives

Download printer-friendly version


New Program Rewards Medicare Advantage Patients for Healthy Behaviors

GIC Product Updates Effective July 1

Introducing New Hampshire POS Open Access Plans

Harvard Pilgrim Grant Announcements


Coverage of Higher Dosage of Lupron Depot for Breast Cancer

Benign Prostatic Hypertrophy Medical Policy Updates

Cryotherapy for Prostate Cancer Requires Prior Authorization

Coverage of Fecal Calprotectin Testing

Lutathera Covered with Prior Authorization

Updates to TMJ Prior Authorization Policy

Prior Authorization No Longer Required for Cologuard Test

Follow-up WebEx on Reducing Avoidable Hospital Admissions


Negative Balance and Refund Process Enhancements

Enhanced Processes and Communication with Providers

Keep Panel Status and Demographic Information Up to Date

Early Intervention Provider Fee Schedule Update

2018 Home Care Seasonal Flu Vaccine Fee Schedule

Documenting Deep Vein Thrombus and Pulmonary Embolism


Robert Farias,
Senior Vice President, Corporate Network Strategy

Annmarie Dadoly,

Joseph O'Riordan,

Kristin Edmonston,
Production Coordinator