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

January 2016

2016 Fee Schedule Updates


On April 1, 2016, Harvard Pilgrim will update its:

  • Standard professional fee schedule, incorporating recently released Medicare relative value units (RVUs) and laboratory rates for 2016
  • Durable medical equipment (DME) fees, which may also include changes resulting from Harvard Pilgrim’s annual review of purchase (NU), maintenance (MS), and rental (RR) terms
  • Individual consideration pricing for unclassified drug codes to better align with Harvard Pilgrim’s standard fee schedule pricing for injectable drugs

Beginning in mid-February, providers may request 2016 sample fee schedules by sending a fax to the Provider Processing Center at 617-509-0205.

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OFFICE ASSISTANT

2016 Fee Schedule Updates

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

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Vice President, Network Services

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