Insights and Updates for Providers

May 2024
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Change Healthcare update: Claims submission connectivity available for all products

We’re pleased to report that all Point32Health lines of business now have the ability to accept claims electronically (837 claims submissions), as we’ve reestablished a connection with RelayHealth for Stride.

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GIC product updates effective July 1

Point32Health is offering a reminder for our provider network that the 2024-2025 plan year for our Harvard Pilgrim/Group Insurance Commission (GIC) products begins on July 1, 2024.

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Reminder: Value codes required on ESRD claims

As a reminder, when billing for end-stage renal disease (ESRD) services such as dialysis and home health care, the value codes identified in this article are required in Form Locator 39-41.

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Additional Information

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Network information

Our Products

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COVID-19 Provider Resources

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

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Provider Training and Events

Learn about upcoming webinars and office manager meetings, watch 3-minute video training sessions, and access training guides and resources. Plus share your feedback to help us create new events and tools geared to your needs.

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What’s Ahead at Point32Health: Integration Updates

Harvard Pilgrim Health Care and Tufts Health Plan combined under the parent organization Point32Health on Jan. 1, 2021. Refer to this FAQ to learn about the work we have done in transitioning our processes and products — and our plans for what’s ahead.

Refer this FAQ