Overview

We want to keep our network providers aware of the work that we have done in transitioning our technologies processes and products since Harvard Pilgrim Health Care and Tufts Health Plan combined under the parent organization Point32health on Jan. 1, 2021. This FAQ shares that progress and a look at what’s ahead.

Frequently Asked Questions

Publication history

11.6.2023 — Included information on out-of-network behavioral health claims submission.

10.27.2023 — Included additional information on commercial product migration in 2024.

10.20.2023 — Updated information on behavioral health network.

9.11.2023  Included additional questions and answers on behavioral health.

7.27.2023 Updated behavioral health section with information on single case agreements.

5.12.2023 — Updated behavioral health section with new information.

2.20.2023 — Editorial updates to bring language up to date. Changed newsletter information to reference new integrated provider newsletter, Insights and Updates for providers. Updated information on oral formula.

2.1.2023 — Updated information on provider newsletter to link to new integrated newsletter.

12.30.2022 — Added information on oral formula.

11.30.2022 — Updated section regarding behavioral health continuity of care and added information about obtaining medical drugs via the specialty pharmacy. Also added additional information on specialty pharmacy for pharmacy benefit drugs.