Back to Insights and Updates for ProvidersJune 2024

Integrated Point32Health Payment Policy: Clinical Trials

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We are introducing an integrated Point32Health Clinical Trials Payment Policy, which outlines the information previously found on the respective legacy Harvard Pilgrim and Tufts Health Plan policies.

The streamlined policy comprehensively documents existing requirements and reimbursement details for Point32Health providers in one location, and does not represent a change in processes or services.

The policy defines our coverage of routine costs associated with in-network services rendered during qualified clinical trials for cancer and other life-threatening conditions, in accordance with state and federal mandates and when medically necessary and consistent with the member’s benefits.

For complete information, please refer to the Point32Health Clinical Trials Payment Policy.

Audrey Kleinberg,
Director, Provider Relations & Communications

Annmarie Dadoly,
Senior Manager, Provider Communications

Joseph O’Riordan, Susan Panos, Ellen Gustavson, Ryan Francis, Stephen Wong,

Kristin Edmonston,
Production Coordinator

Kristina Cicelova,
Graphic Designer