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Home > Providers > News Center > Network Matters

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

May 2015

Highlights

New Updates Coming to HPHConnect

Harvard Pilgrim will be updating HPHConnect with a fresh new look and a more user-friendly design on June 13, 2015.

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Harvard Pilgrim’s Preparations for ICD-10 Transition

As you know, ICD-10 code sets will be replacing ICD-9 this fall. Harvard Pilgrim has completed systems work, and will be ready to implement ICD-10 diagnosis and procedure codes by the October 1, 2015 compliance date set by the Centers for Medicare and Medicaid (CMS).

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Improvement in Coordination of Benefits Process

Coordination of benefits (COB) allows health plans to determine their respective payment responsibilities in cases where a patient is covered by more than one health plan.

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Coverage for Artificial Cervical Disc Replacement with Prior Authorization

For dates of service beginning July 1, 2015, Harvard Pilgrim Health Care will now offer coverage for artificial cervical disc replacement in select patients, provided that prior authorization is obtained from our partner National Imaging Associates, Inc. (NIA).

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2015 Update of the Home Care Seasonal Flu Vaccine Fee Schedule

Updates to Harvard Pilgrim’s standard home care seasonal influenza vaccine fee schedule will take effect on August 1, 2015.

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Network Matters Archives

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HPHCURRENT EVENTS

New Updates Coming to HPHConnect

Harvard Pilgrim’s Preparations for ICD-10 Transition

CLINICIAN CORNER

Improvement in Coordination of Benefits Process

Coverage for Artificial Cervical Disc Replacement with Prior Authorization

Two New Medical Policies Now Available

Complex Case Management Services

Disease Management Programs that Reinforce Physician Treatment Plans

Specialty Pharmacy Program Updates

Reminder of Member Cost Sharing Waiver Policies

Collaboration among PCPs and Behavioral Health Providers

OFFICE ASSISTANT

2015 Update of the Home Care Seasonal Flu Vaccine Fee Schedule

Reminder: Ensure That Claims Contain Valid Codes

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator