Important News & Resources
COVID-19 Provider Resources
You'll find the latest provider updates on COVID-19 related policies, coverage, and reimbursement here.
Read moreCombination 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.
Read moreProvider Training and Events
Learn about upcoming network events and training opportunities, view videos from past events, and find 2-3 minute video training sessions.
Read moreNetwork Matters
August 2021Aduhelm Considered Experimental and Investigational
After a review based on safety and efficacy in the interest of our members’ health and well-being, Harvard Pilgrim has concluded that the Alzheimer’s drug aducanumab (Aduhelm) is experimental and investigational.
Read morePrior Authorizations for Medical Drugs
Effective for dates of service beginning Oct. 1, 2021 for members of our commercial plans, Harvard Pilgrim will require prior authorization for certain medications.
Read moreEdits to Cardiology & Cardiovascular Surgery Payment Policy
Harvard Pilgrim is updating our commercial Cardiology & Cardiovascular Surgery Payment Policy and will apply a number of additional coding edits, effective for dates of service beginning Oct. 1, 2021.
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