Claims consultation events coming in RI, MA, NH, CT, and ME.
Insights and Updates for Providers
The mailing address for all Harvard Pilgrim Stride claims submissions has changed.
Effective Jan. 1, 2024, Tufts Health Unify is changing its name to Tufts Health One Care.
Reminders on adhering to billing requirements identified in MassHealth bulletins 355, 364, and 95.
Providers who render services for Medicaid members must be screened by and enrolled with the appropriate state Medicaid agency.
Point32Health has appointed Glenn Pomerantz, MD, JD as our new Chief Medical Officer.
Updates on migration for Point32Health commercial products in Massachusetts and Rhode Island.
Please refer to these tools and resources related to our behavioral health program, which insources on Nov. 1, 2023.
For Tufts Health RITogether members, providers will soon have more electronic portal functionality than ever before.
Point32Health has developed new tip sheets for three HEDIS measures.
Reminder: it’s important to offer children routine behavioral health screening.
Review and verify the accuracy of demographic data at least quarterly.
Providers who are planning to offer concierge medicine services to eligible members are required to provide advance notice.
Learn more about vaccines and screenings recommended annually for patients between ages 12-21.
Reminders to help avoid unnecessary claim denials and rejections for CareLink members.
Learn more about mandatory exceptions in step therapy protocols.