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Complex Case Management

Harvard Pilgrim provides quality case management programs to support identified members with complex focused diagnostic conditions as well as a program for those proactively identified at-risk patients with multiple complex conditions. These programs aim to empower and educate members to regain optimum health and quality of life, to become more self-reliant in managing their health care, and to increase adherence to treatment plans designed by their providers.

Read the Description for information about program components and member identification.

How to make a referral

Patients may be referred for case management services by calling 1-866-750-2068.

Important Information regarding the Release of Medical Record Data to Harvard Pilgrim