Insights and Updates for Providers - July 2024

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Removal of certain PA requirements

We would like to remind our providers of certain procedures and associated codes that no longer require prior authorization.

Process for recovering negative balances

Learn more about the steps that Point32Health takes to recover negative balances.

Contracting, Enrollment, and Credentialing QRG

This new Quick Reference Guide provides your practice with handy information.

Electronic Tools and Resources

Our electronic transaction capabilities make doing business with us quick and efficient. Explore our electronic services and learn about our secure portal capabilities for:

  • PPO/POS Video Short

    Providers outside our service area can see any Harvard Pilgrim Health Care PPO/POS member for covered services. This quick video gives an overview for providers who are in our Harvard Pilgrim’s national network through UnitedHealthcare or out-of-network.

With the Point32Health Provider site, we aim to make it easy for you to work with us to support our members’ health and wellbeing — including providing you and your office staff with updated information for both our legacy brands, Harvard Pilgrim Health Care and Tufts Health Plan. While we still offer provider information on the sites of our legacy brands, over time you’ll see more provider information and resources move to these pages.