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Network Matters

May 2021
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Highlights

Payment Policy Review and Integration

As part of our integration work as a combined organization, we are reviewing and assessing existing Harvard Pilgrim Health Care and Tufts Health Plan Payment Policies.

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InterQual Criteria: Electrical Bone Growth Stimulators

As of July 1, 2021, Harvard Pilgrim will require prior authorization for the use of bone growth stimulators for commercial members.

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Updates to Radiation Oncology Payment Policy

Beginning July 1, 2021, Harvard Pilgrim will apply frequency limits for a number of radiation oncology procedure codes.

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