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Insights and Updates for Providers

June 2024
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Highlights

2024 Home Care Seasonal Flu Vaccine Fee Schedule

Updates to Harvard Pilgrim’s standard home care seasonal influenza vaccine fee schedule will take effect on Aug. 1, 2024.

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Good Measures Healthy Weight program launches for members

Harvard Pilgrim Health Care has partnered with Good Measures to offer their Healthy Weight program to members with certain weight/nutrition-related conditions.

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Removal of prior authorization requirements for certain procedures

We are removing prior authorization requirements from certain procedures and associated codes in a continued effort to administratively simplify providers’ experience.

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Additional Information

Join the Network

Learn more about participating in Harvard Pilgrim’s exceptional provider network

Network information

Our Products

Familiarize yourself with Harvard Pilgrim’s wide range of plans

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E-Business

Our electronic transaction capabilities make doing business with us quick and efficient

E-tools

COVID-19 Provider Resources

You’ll find the latest provider updates on COVID-19 related policies, coverage, and reimbursement here.

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Provider Training and Events

Learn about upcoming webinars and office manager meetings, watch 3-minute video training sessions, and access training guides and resources. Plus share your feedback to help us create new events and tools geared to your needs.

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What’s Ahead at Point32Health: Integration Updates

Harvard Pilgrim Health Care and Tufts Health Plan combined under the parent organization Point32Health on Jan. 1, 2021. Refer to this FAQ to learn about the work we have done in transitioning our processes and products — and our plans for what’s ahead.

Refer this FAQ