Insights and Updates for Providers

September 2024
Read full issue
Highlights

Important updates on reaching us by phone, email, and fax

We're modifying the way we accept requests for authorizations, notifications, and referrals across Point32Health, and recommend electronic and fax options for greater efficiency.

Read more

ChoiceNet and Focus Network – MA 2025

Tier assignments for Harvard Pilgrim's ChoiceNet HMO and PPO plans, determined based on quality and cost performance, take effect January 1, 2025.

Read more

Harvard Pilgrim Provider Portal required fields update

Harvard Pilgrim is making an update to the electronic prior authorization request submission in HPHConnect when submitting an outpatient service transaction, effective Nov. 1, 2024.

Read more

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

View Product information

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.

View resources

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.

View training and events

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