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

January 2020

InterQual Criteria for Cryotherapy for Prostate Cancer

Beginning on Feb. 28, 2020, Harvard Pilgrim will be utilizing InterQual® criteria and tools for our existing commercial cryotherapy for prostate cancer prior authorization policy, including an electronic authorization questionnaire that offers a quick and efficient way for you or your office staff to request authorization via HPHConnect.

While we encourage providers and office staff to request authorization electronically, Harvard Pilgrim will continue to accept authorization requests for cryotherapy for prostate cancer via phone (800-708-4414) or fax (800-232-0816). The InterQual Smartsheet will replace the existing Cryotherapy for Prostate Cancer Prior Authorization Request Form. If you don’t currently use HPHConnect to request authorization, the following resources can help you get started:

To request additional training, contact us at Provider_Experience@harvardpilgrim.org.

For more information on the medical review criteria, please refer to the Cryotherapy for Prostate Cancer Medical Review Criteria. You may view and print the complete medical necessity criteria and SmartSheet questionnaire via HPHConnect (go to www.harvardpilgrim.org/providerportal, select Resource Center and then the Upcoming InterQual link).

Email this article to a colleague   

Network Matters Archives

Download printer-friendly version


Submitting Claims for Members of Certain HPI Accounts

HEDIS 2020 Coming Soon: Your Cooperation is Crucial


InterQual Criteria for Cryotherapy for Prostate Cancer

Prior Authorizations for Xiaflex and Miacalcin

Medicare Advantage: Diabetes Updates for March 1

Updates to Yervoy Medicare Advantage Medical Policy

Pharmacy and Therapeutics Committee Meeting Update

Palliative Care and the MA Coalition for Serious Illness Care

Consultation Service for Treatment of Addiction and Pain


Connecticut Providers: Termination Requirements


Robert Farias,
Senior Vice President, Corporate Network Strategy

Helen Connaughton,
Director, Network Operations

Annmarie Dadoly,

Joseph O'Riordan,

Kristin Edmonston,
Production Coordinator