Insights and Updates for Providers

July 2024
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Highlights

Change Healthcare update: Timely filing limits and claim adjustment

Effective Sept. 1, 2024, Point32Health will end the temporary claims timely filing and claims adjustment extension that we instituted related to the Change Healthcare cybersecurity event and will return to our standard requirements for all lines of business.

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ConnectorCare plans – in-network coverage reminder

Harvard Pilgrim has joined Tufts Health Plan as a ConnectorCare issuer for 2024, expanding access to affordable health care coverage for thousands of Massachusetts residents.

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Coverage reminder – Community Behavioral Health Center services

We would like to remind providers of notification requirements and billing procedures related to Community Behavioral Health Center services.

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Additional Information

Join the Network

Learn more about participating in Harvard Pilgrim’s exceptional provider network

Network information

Our Products

Familiarize yourself with Harvard Pilgrim’s wide range of plans

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E-Business

Our electronic transaction capabilities make doing business with us quick and efficient

E-tools

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