Important News & Resources

COVID-19 Provider Resources

You'll find the latest provider updates on COVID-19 related policies, coverage, and reimbursement here.

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Combination Finalized

Harvard Pilgrim Health Care and Tufts Health Plan have combined under the parent company Point32Health. Read about our new organization and get answers to provider questions here.

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Provider Training and Events

Learn about upcoming network events and training opportunities, view videos from past events, and find 2-3 minute video training sessions.

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Network Matters

January 2022
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Highlights

New and Updated Telehealth Place of Service Codes

Harvard Pilgrim has updated our billing requirements to reflect recent changes regarding telehealth place of service codes 02 and 10, as well as the modifiers FQ and FR.

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HEDIS 2022 Coming Soon: Your Cooperation is Crucial

In the coming weeks, you may receive a request for copies of medical records for certain patients related to the NCQA’s annual HEDIS project, and we appreciate your assistance.

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Use of Non-Participating Ambulance Providers

As you choose a Harvard Pilgrim contracted ambulance provider when coordinating ground ambulance services for members, please note that Fallon Ambulance no longer participates in our network in Massachusetts.

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Additional Information

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