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

August 2015

Update Coming to HPHConnect for Providers


Harvard Pilgrim is enhancing HPHConnect to make this e-transaction tool even more informative for providers. Beginning September 21, 2015, the claim detail screen will display multiple servicing providers.

If you have any questions about these updates or any other aspects of HPHConnect, please contact Provider eBusiness Services at Provider_eBusiness_Services@harvardpilgrim.org or 800-708-4414 (select option 1, then option 6).

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HPHCURRENT EVENTS

ICD-10 Transition & Paper Claims Submission

CLINICIAN CORNER

New Clinical Medical Policies

Medical Criteria for Inverted Nipple Repair

The Safe Storage and Disposal of Opioids

New HEDIS Measure:  Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)

Prior Authorization Required for Duexis and Vimovo

Prior Authorization Required for Entresto

ICORE Healthcare Becoming Magellan Rx Pharmacy, LLC

Coordination of Care for Transgender Patients

Harvard Pilgrim’s EatRight Rewards Promotes Wellness

OFFICE ASSISTANT

Bilateral Reimbursement

Update Coming to HPHConnect for Providers

Reminder: Save Time and Paper with Harvard Pilgrim’s Electronic Tools

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator