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.