Facility attestation functionality in Tufts Health Plan Provider Portal
We’ve implemented new functionality in the Tufts Health Plan secure Provider Portal, which allows facilities to review their provider data and report necessary changes.
We’ve implemented new functionality in the Tufts Health Plan secure Provider Portal, which allows facilities to review their provider data and report necessary changes.
We’re updating our rules and requirements associated with appeals submission and timely filing limits for Tufts Health Public Plans claims.
As of Jan. 1, Point32Health will require clinical documentation for outpatient advanced imaging services for Tufts Health Plan Commercial and Tufts Health Public Plans members.
We are announcing a few integrated webpages to streamline the provider experience, including our Prior Authorization, Forms, and Vendor Programs pages.
As a reminder, corrected claims submissions should not include documentation of previous payment information, as this may delay processing.
We’re introducing a streamlined Point32Health Drugs and Biologicals Payment Policy and will require providers to append modifier JW or JZ, when applicable.
When billing for psychotherapy services, use the procedure code that most closely reflects the duration of time spent with the patient during the session.
Point32Health requires prior authorization for coverage of all prenatal testing, including NIPT, which can be requested using the resources provided here.