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

May 2020

Latest Information for Providers: COVID-19 Resources Updated

Harvard Pilgrim is committed to our partnerships with providers and is grateful for the heroic work you are doing. As providers grapple with the extraordinary demands of the coronavirus pandemic, Harvard Pilgrim is here to support and provide you with the information you need.

We have adapted our policies and operations to address the unique needs of our members and providers in this challenging time and will continue to work with you throughout this public health crisis.

We regularly update the following resources on our provider website to provide information on these changes and address your questions.

  • Provider Information Sheet — With new information on prior authorization, concurrent review, claims and appeals, and telemedicine, as well as COVID testing and treatment, coverage, billing/coding, and more. We’ve added a publication history to the document to help readers identify what’s changed from previous versions.
  • Expedited credentialing and enrollment — To aid our health care partners in staffing up quickly to address the coronavirus pandemic, Harvard Pilgrim will expedite credentialing for clinicians aiding in this public health emergency, provisionally credentialing them for 180 days. Please refer to this document for details on this process.
  • Commercial Interim Telemedicine/Telehealth Payment Policy (COVID-19 Pandemic) — Harvard Pilgrim is emphasizing telemedicine/telehealth to members and expanding the scope of our coverage during this pandemic and the interim policy offers guidance on coverage and billing. Please refer to CMS guidelines for billing instructions for Medicare, as well as the telemedicine section of the Provider Information Sheet linked above.
  • Microsite — Offers tips to help members and the community protect themselves, as well as links to CDC and state health departments.

    We hope you find these resources helpful. Please continue to let us know how we can support you by contacting the Provider Service Center at 800-708-4414 or your Provider Relations Consultant or Contract Manager as appropriate.

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