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

October 2009

HPHConnect for Providers—policies and procedures


On January 1, 2010, new policies and procedures for HPHConnect for Providers will take effect. The following policy highlights, as well as all other HPHConnect policies and procedures, will be available in the new “Requirements for EDI and Online Solutions” section of Harvard Pilgrim’s Provider Manual beginning November 1.

People identified as “Main Office Contacts” are responsible for administering the use of HPHConnect within their office. This responsibility includes access management, user termination (when job function or employment status changes), and ensuring the appropriate use of our member’s protected health information.

Main Office Contacts must also confirm or update the status of all HPHConnect user accounts in their office via annual Account Revalidation. Main Office Contacts will receive an e-mail notifying them of the due date for revalidation. Failure to meet this deadline will result in termination of access to HPHConnect.

Providers contracted with Harvard Pilgrim will no longer be required to sign a Privacy and Security Agreement specific to the use of HPHConnect. Non-contracted providers or third-party representatives requesting access to HPHConnect must still sign a Privacy and Security Agreement, and meet all other requirements set forth in the Provider Manual

For more information, please call the Provider eBusiness Services at (800) 708-4414, option 1, option 6, or
e-mail Provider_eBusiness_Services@harvardpilgrim.org.


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HPHConnect for Providers—policies and procedures

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Synagis update

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Policy update: Reimbursement for oxygen saturation evaluation 

Update: Reimbursement for wireless capsule endoscopy

2010 CPT and HCPCS codes

Claims editing software update

Reimbursement for human leukocyte antigen testing

Policy update: Modifier 52


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