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

January 2019

HPHConnect for Providers Getting a New Look in 2019

New year, new look, greater convenience. Later this month, we’re updating HPHConnect for Providers with a fresh, user-friendly design that’s more than a pretty face — it will offer even greater convenience for users. You’ll find the tools you use most frequently at your fingertips, with the home page featuring quick access to:

  • Verifying eligibility
  • Submitting referrals
  • Checking authorization status
  • Viewing claims status

The home page will also feature the latest news, policy updates, and 60-day notices from our monthly provider newsletter Network Matters to keep you and your office staff up to date on everything you need to know.

These changes are all part of our commitment to improve the experience of our provider partners. We want doing business with Harvard Pilgrim to be as easy and efficient as possible for you, and we think you’ll agree that our refreshed HPHConnect portal will offer greater convenience.

If you haven’t signed up to use HPHConnect yet, visit our website today to learn more about this web-based transaction service and to register today.

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Network Matters Archives

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HPHConnect for Providers Getting a New Look in 2019

2019 Quality Grant Applications Due by Feb. 15

HEDIS 2019 Coming Soon: Your Cooperation is Crucial

HPI to Administer BMC HealthNet Plan

Behavioral Health: Services for Improved Access


New Opioid Safety Edits for 2019 Medicare Advantage Plans

Medical Policy Update: Tumor Treating Fields

Reminder: Formulas and Enteral Nutrition Require Prior Authorization

Updates to Proton Beam Therapy Medical Policy

Lumoxiti Now Covered with Prior Authorization

TriVisc and Jivi Now Covered with Prior Authorization

Pharmacy and Therapeutics Committee Meeting Update


Coding Program Launching in January for Medicare Advantage


Robert Farias,
Senior Vice President, Corporate Network Strategy

Annmarie Dadoly,

Joseph O'Riordan,

Kristin Edmonston,
Production Coordinator