Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
HPHConnect
Pharmacy
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Press Releases
Office Support
Products
Provider Manual
Research & Teaching
Resources & Links
 
Print    Text Size
Home > Providers > News Center > Network Matters

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

February 2015

Highlights

Reminder: CAQH Switching to New Version February 17-23

Beginning February 24 at 8 p.m., CAQH is converting from the Universal Provider DataSource to CAQH ProView, and will be unavailable from that date through the morning of March 2, when the new version is scheduled to launch.

Read more


Data Sharing Enhancements

Harvard Pilgrim strives to improve the quality and completeness of the data we make available to providers in our network.

Read more


Coverage of New Hepatitis C Medication Harvoni

In October 2014, the FDA approved the medication Harvoni to treat adults with chronic hepatitis C genotype 1 infection.

Read more


Update to CPT and HCPCS Level II Modifiers Payment Policy

In January, the Centers for Medicare and Medicaid Services (CMS) introduced 4 HCPCS modifiers, known collectively as the X{EPSU} modifiers, as a subset of modifier 59 to allow for more precise coding options and reduce errors in the use of modifier 59.

Read more


Urgent Care Network Requirements

Harvard Pilgrim would like to remind providers of certain requirements for participation in our urgent care network and of our policies regarding the addition of new urgent care locations to an existing contract.

Read more



Acrobat Reader *Acrobat Reader required to view PDF files. Download latest version free.

Network Matters Archives

Download printer-friendly version

HPHCURRENT EVENTS

Reminder: CAQH Switching to New Version February 24-March 2

Data Sharing Enhancements

CLINICIAN CORNER

Coverage of New Hepatitis C Medication Harvoni

Fentanyl Patch and Xartemis XR Quantity Limit

Granix Now Covered Under Pharmacy Benefit

Prior Authorization Required for Afreeza

Prior Authorization Required for Otezla

Tier Increase for Rebif on Premium Formularies

Caring for a Caregiver: Signs and Treatment of Caregiver Stress

OFFICE ASSISTANT

Update to CPT and HCPCS Level II Modifiers Payment Policy

Urgent Care Network Requirements

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