Progeny Health

Harvard Pilgrim requires notification from facilities/service providers for non-routine newborn care (Level II – IV) and ALL and partners with Progeny Health to promote health outcomes for newborns who are premature and have medically complex cases.

ProgenyHealth’s leverages InterQual® criteria and their team of pediatricians, and neonatal nurse case managers work closely with neonatal intensive care unit (NICU) physicians, nurses, and facilities to perform utilization management, review of level of care, and conduct discharge planning for babies receiving NICU care.

For more information, please refer to the commercial Non-Routine Newborn Care NICU Notification Policy.