Welcome Providers
Resources and information for providers and office staff
Welcome Providers
Resources and information for providers and office staff
Policies, Manuals & Forms
Behavioral health
Training
News Insights and Updates for Providers - December 2024
Portal, Phone and fax update for referrals, notifications and authorizations
In recent issues, we announced some updates on reaching us by phone, email, and fax, and are providing the following clarifications and reminders.
New HEDIS tip sheets for SPC and FMC measures
We’re pleased to introduce HEDIS® tip sheets for Statin Therapy for Patients with Cardiovascular Disease and Follow Up After Emergency Department Visit for People with Multiple High-Risk Chronic Conditions.
Billing for behavioral health boarding
We’ve clarified the billing requirements outlined in our payment policies pertaining to BH boarding, and have updated a BH boarding billing requirement for Tufts Health Direct.
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:
Join the network
We invite you to join us in ensuring that our communities have access to high-quality, equitable health care by becoming a participating provider.
Our plans
Learn more about the diverse range of health plans we offer under our legacy brands, Harvard Pilgrim Health Care and Tufts Health Plan.
-
Short video: Checking referrals, notifications, and authorizations in HPHConnect
We’ll show you how to use the Harvard Pilgrim Health Care secure portal, HPHConnect, to check the status of a referral, notification, or authorizaton request. The video shares step-by-step instructions and time-saving tips.
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.
