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

August 2013

Intralesional Injection Procedures: No Prior Authorization Required 


Harvard Pilgrim is no longer requiring prior authorization for intralesional injections (CPT 11900 and CPT 11901), effective September 1, 2013. Harvard Pilgrim is making this change to allow for the more timely treatment of covered dermatological conditions and to improve the claims process.

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HPHCURRENT EVENTS

Cardiac Medication Adherence Report Now Available

Reminder: Maintain Up-To-Date Panel Status Information

CLINICIAN CORNER

Intralesional Injection Procedures: No Prior Authorization Required

Medical Criteria for Electric and Myoelectric Prosthetics

TMS Now Covered with Prior Authorization

Continuous Glucose Monitoring Systems

New Prior Authorization Requirement for Six Medications

Gastric Emptying Payment Policy Update

P&T Committee Updates

Specialty Pharmacy Updates

Recognizing Postpartum Depression in the Primary Care Setting

OFFICE ASSISTANT

Changes to HPHConnect New User Accounts

Qualitative Drug Screen Testing

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,
Editor

Kristin Edmonston,
Production Coordinator