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
Newsroom
Office Support
Products
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size

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

August 2020

Highlights
Harvard Pilgrim Debuting New Provider Website in Sept.

We’ve redesigned our provider web experience with you in mind. The new user experience will create easy, fast access to the information and tools you need most. For example, the site is equipped with more intuitive navigation, filtering, and search functionality.

Read more


Get Patients in for Important Vaccines

Harvard Pilgrim recognizes that the COVID-19 pandemic has dramatically disrupted the routine operations of many provider offices and clinics since March, causing many non-emergent services to be put on hold and shifting priorities at facilities across the country.

Read more


COVID-19 Reminders and Resources

As we continue to grapple with the COVID-19 pandemic and phased reopening, Harvard Pilgrim continues to work to support our provider partners, members, and employer groups.

Read more


Webinars for Outpatient Oncology Authorization Program

As we noted in last month’s issue, Harvard Pilgrim will be launching a new oncology and radiation oncology medical management program with a vendor partner, Oncology Analytics.

Read more


Reminder: Medical Drug Dose and Frequency Guidelines for Sept. 1

For our commercial members, Harvard Pilgrim requires prior authorization for certain high cost medical drugs through our vendor partner, CVS-Novologix, which evaluates these requests against FDA label clinical indications, dose, and frequency, as well as compendia indications.

Read more


Coverage of Intraoperative Neurophysiological Monitoring

Please keep in mind that Harvard Pilgrim considers intraoperative neurophysiological monitoring (INM) with an FDA approved technique/device as medically necessary when ordered by the operating surgeon and performed during covered procedures (please refer to Harvard Pilgrim’s commercial Intraoperative Neurophysiological Monitoring Medical Policy for a list of covered procedures and exclusions).

Read more



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

Network Matters Archives

Download printer-friendly version

HPHCURRENT EVENTS

Harvard Pilgrim Debuting New Provider Website in Sept.

Get Patients in for Important Vaccines

COVID-19 Reminders and Resources

CLINICIAN CORNER

Webinars for Outpatient Oncology Authorization Program

Reminder: Medical Drug Dose and Frequency Guidelines for Sept. 1

Reminder: NICU Program with ProgenyHealth

Medication Assisted Treatment for Substance Use: Key Resources

Members’ Rights and Responsibilities

Coverage of Intraoperative Neurophysiological Monitoring

Medical Policy Update: Allergy Testing and Immunotherapy

InterQual Criteria for Bunionectomy

Hyperbaric Oxygen Therapy Medical Policy Updates

Updates to Non-Covered Services Medical Policy

Varicose Vein Medical Policy Updates

Stride Medical Policy Update: Implantable Neurostimulators

Medicare Advantage: Prior Authorization Updates

OFFICE ASSISTANT

Payment Policy Updates Regarding Venipuncture Services

PUBLICATION INFORMATION

Helen Connaughton,
Director, Network Operations

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator