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

May 2014

Reminder for EFT Users with Clearinghouses

If you are participating in electronic funds transfers and use a clearinghouse, please set up your PaySpan account to automatically direct your 835 files to the clearinghouse.

For details on how to allow your 835 files to be directed to a clearinghouse, please log in to your PaySpan account and visit the “Frequently Asked Questions” section of the website. Instructions are provided in the section “How do I activate an Electronic Mailbox?” If you prefer not to use an electronic mailbox, you can retrieve your remittances from PaySpan manually and opt to send your 835 files to the clearinghouse yourself.

For more information, email providersupport@payspanhealth.com or call PaySpan Provider Services (877-331-7154, option 1).

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Harvard Pilgrim Health Care Institute Receives National Clinical Award

ICD-10 Testing Continues

Spine Management and Prior Authorization: Sign Up for a Webinar

Harvard Pilgrim Enters Connecticut

Video Presentation: ACA and Risk Adjustment


Comprehensive Approach to Disease Management

Prior Authorization Required for Shoulder Arthroscopy

Expanded Coverage: Capsule Endoscopy of the Small Bowel

Expanded Coverage: Stereotactic Body Radiation Therapy

Hetlioz Now Covered with Prior Authorization

Update: Outpatient Rehabilitative Therapies Authorization

Prior Authorization and Quantity Limits for Testosterone Therapy

South Asian Community Organization Hosts Mental Health Symposium

Complex Case Management

Medication-Assisted Treatment for Opioid Abuse


Reminder: Unlisted Billing Guidelines

CMS 1500 (08/05) Form Rejected After June 15

Reminder for EFT Users with Clearinghouses

2014 Update of the Home Care Seasonal Flu Vaccine Fee Schedule

Reminder: CPT Code for Administering Immunizations


Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,

Kristin Edmonston,
Production Coordinator