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

October 2015

Medical Group Name to be Listed in Provider Directory


Under the Affordable Care Act, Harvard Pilgrim is considered a qualified health plan (QHP) issuer, which means that Harvard Pilgrim offers health plans that are certified by the Health Insurance Marketplace and meets certain requirements, such as coverage of essential health benefits, and adherence to established limits on cost sharing.

The Centers for Medicare and Medicaid Services (CMS) is now requiring QHP issuers like Harvard Pilgrim offering products on the federal Exchanges to include medical group name in the information listed in their online provider directories. Effective January 1, 2016, in compliance with the CMS-issued requirement, medical group name will be included in Harvard Pilgrim’s provider directory.

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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