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

  • 3.10.2023 – Added a note to Products section about Tufts Health Plan GIC products retiring as of July 1, 2023.
  • 3.1.23 – Added information on behavioral health insourcing, continuity of care, eligibility transactions, and EOPs/835s for claims that span a migration date.
  • 2.22.23 – Added link to Drugs@FDA website.
  • 2.20.23 — 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. 
  • 2.1.23 — Updated information on provider newsletter to link to new integrated newsletter.
  • 12.30.22 — Added information on oral formula.
  • 11.30.22 — 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.