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

April 2016

Highlights
Important Referral Reminders for PCPs

As we announced in previous issues of Network Matters, Harvard Pilgrim modified our referral process at the beginning of this year to better support coordination of care.

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Vaccine Policy: Updates Regarding State-Supplied Vaccines

Harvard Pilgrim reimburses contracted providers for the provision of vaccine and immunization services.

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Clinical Policy and Prior Authorization Updates

Harvard Pilgrim regularly reviews clinical literature to create new medical policies or update existing ones.

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Upcoming Clinical Reviews: Give Us Your Feedback

Harvard Pilgrim’s Medical Policy team will be reviewing and updating policies for our commercial health plans (HMO, POS, and PPO) this summer, and is interested in your feedback.

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Benefit from the Convenience of Electronic Funds Transfer

Are you still receiving paper checks from Harvard Pilgrim Health Care? Eliminate paper and enjoy greater convenience by making the simple switch to electronic funds transfer (EFT).

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Network Matters Archives

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HPHCURRENT EVENTS

Important Referral Reminders for PCPs

New Medicare Advantage FDR Compliance Program Website Available

CLINICIAN CORNER

Vaccine Policy: Updates Regarding State-Supplied Vaccines

Clinical Policy and Prior Authorization Updates

Upcoming Clinical Reviews: Give Us Your Feedback

Updates to Harvard Pilgrim’s Nexium Coverage

Diabetes Outreach Program for Medicare Advantage Members

Harvard Pilgrim’s Commitment to Health Equity

P&T Committee Updates

Specialty Pharmacy Program Updates

Reminder Regarding Annual Well Visits

OFFICE ASSISTANT

Benefit from the Convenience of Electronic Funds Transfer

Reminder: Use of Non-Participating Ambulance Providers

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator