Insights and Updates for Providers - October 2024

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New Point32Health provider webpages

Our new integrated webpages — Prior Authorization, Forms, and Vendor authorization pages,  will help streamline the provider experience.

New 2025 CPT and HCPCS codes

We are updating our systems and policies to reflect new 2025 CPT and HCPCS codes beginning Jan. 1, 2025.

Phone, email, and fax updates

We are providing a reminder on how to reach us for certain transactions, including a new fax number, along with resource guides for our secure portals.

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:

  • Coordination of Benefits Video Short

    Learn more about coordination of benefits processes for scenarios involving Medicaid, Medicare, and third-party payers, as well as members with multiple Commercial plans. This quick video gives an overview for providers on the rules for determining primary coverage in a variety of circumstances.

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.