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

August 2022
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Highlights

New: Member Travel Benefit for Selected Services

Point32Health has developed a travel benefit to support members and employees unable to access covered services (such as abortion and gender affirming surgeries) in their state of residence due to state laws restricting or prohibiting providers from providing such covered benefits.

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Botox No Longer Available Through US Bioservices

We want to inform providers that, while you can still buy and bill Botox, or have it delivered to your office through Accredo via our specialty pharmacy program, US Bioservices no longer dispenses Botox prescriptions.

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Prior Authorization for Orthognathic Surgery

Harvard Pilgrim will require prior authorization for orthognathic surgery for Commercial members, effective for dates of service beginning Oct. 1, 2022, and the InterQual criteria subsets identified in this article will be used for medical review.

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Additional Information

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