Insights and Updates for Providers

May 2024

Point32Health billing updates

Tufts Health Medicare Preferred PPO | Tufts Health Plan MCO/ACO | Tufts Health Plan Senior Care Options | Tufts Health Unify | Tufts Medicare Preferred HMO

Point32Health is making updates to our billing requirements for certain products.

Code update for injectable drugs

Tufts Health Plan MCO/ACO | Tufts Health Unify

Effective for dates of service beginning Aug. 1, 2023, J-codes for injectable drugs will deny when submitted for Tufts Health Unify and Tufts Health Plan MCO/ACO claims without an accompanying quantity, appropriate National Drug Code (NDC) number, and unit of measurement code.