Expansion of cryopreservation and storage coverage
Our cryopreservation and storage benefit now includes coverage for ovarian tissue and testicular tissue, in addition to the previous coverage for sperm, eggs, and embryos.
Insights and Updates for Providers
September 2025
New ICD-10 codes available for diabetic shoes
Effective Nov. 1, 2024, Harvard Pilgrim Health Care Commercial members can use newly released ICD-10 codes for diabetic shoes.
New Point32Health webpages to streamline your operations
We are announcing a few integrated webpages to streamline the provider experience, including our Prior Authorization, Forms, and Vendor Programs pages.
Submitting behavioral health claims and appeals
Beginning Nov. 1, submit all BH claims and appeals directly to Harvard Pilgrim for Commercial members — even for dates of service prior to Nov. 1, 2023.
Updated address for Harvard Pilgrim mail correspondence
We are updating the address for our Harvard Pilgrim Health Care line of business from Quincy to our corporate address in Canton.
New product offering for Jan. 1, 2025
Point32Health will offer a new Harvard Pilgrim Health Care Commercial product, PPO Access, beginning Jan. 1, 2025.
Billing for NH community-based mental health organizations
Providers treating children with severe mental illness through one of New Hampshire’s 10 Community Mental Health Centers may be able to bill for certain services.
Synagis coverage for the 2024-2025 RSV season
We would like to remind providers that Synagis requires prior authorization, and how to request authorization for the 2024-2025 season.