Back to Insights and Updates for ProvidersMay 2023

Claims editing alignment

Commercial Products

As part of our integration, we are continuing to align our policies and claims editing processes across our legacy brands, Harvard Pilgrim Health Care and Tufts Health Plan. Effective for dates of service beginning July 1, 2023, all claims for both medical and behavioral health services, including those performed at community mental health centers, will be subject to claims edits and processed consistently across our claims platforms for the legacy brands.

Audrey Kleinberg,
Director, Provider Relations & Communications

Annmarie Dadoly,
Senior Manager, Provider Communications

Joseph O’Riordan, Jesse Salvato, Stephen Wong,

Kristin Edmonston,
Production Coordinator

Kristina Cicelova,
Graphic Designer