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

March 2020

Highlights
Coming in March: PCP Change Functionality in Portal

Beginning March 23rd, Harvard Pilgrim will launch a new feature that enables you to change a member’s primary care physician (PCP) quickly and easily through our HPHConnect provider portal, with the member’s permission of course.

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Outpatient Oncology Prior Authorization: Effective for Medicare Advantage on 5/11

Harvard Pilgrim is launching a new oncology and radiation oncology medical management program with a vendor partner, Oncology Analytics.

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Harvard Pilgrim Network Meeting: Sign Up for our Portland ME Event (POSTPONED)

We’re continuing our regional network engagement series in Portland, Maine on April 1 and invite providers and office staff to register for the event.

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Updates to Commercial Capsule Endoscopy Medical Policy

Harvard Pilgrim is updating our commercial Capsule Endoscopy Medical Policy, effective for dates of services beginning May 1, 2020.

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Provider Directory Updates: Continuing CAQH DirectAssure® Rollout

As you may know, Harvard Pilgrim began piloting CAQH’s DirectAssure® with a user group of providers in July 2019.

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HPHCURRENT EVENTS

Coming in March: PCP Change Functionality in Portal

Outpatient Oncology Prior Authorization: Effective for Medicare Advantage on May 11

Network Meeting: Sign Up for our Portland ME Event (POSTPONED)

CLINICIAN CORNER

Harvard Pilgrim’s Ethics Program and Ethics Advisory Group Discussions

Updates to Commercial Capsule Endoscopy Medical Policy

Advance Care Planning Coverage (99497 & 99498)

Inappropriate Use of Foot Baths in the Medicare Population

OFFICE ASSISTANT

Provider Directory Updates: Continuing CAQH DirectAssure® Rollout

PUBLICATION INFORMATION

Robert Farias,
Senior Vice President, Corporate Network Strategy

Helen Connaughton,
Director, Network Operations

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator