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

February 2016

Enhancements to Comply with Correct Coding


Harvard Pilgrim regularly enhances our claims editing platform to ensure that our policies are more consistent with national correct coding standards and policies, which focus on areas such as:

  • Bundling edits including the National Correct Coding Initiative (NCCI)
  • Modifier usage
  • Global surgery period
  • Add on code usage
  • Age appropriateness

Updates occur regularly, and additional automated claims edits will take effect beginning on May 1, 2016. As always, if you have any questions about a claim, please contact the Provider Service Center at 800-708-4414.

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Enhancements to Comply with Correct Coding

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