Welcome Tufts Health Plan Providers!

Important Information REMINDER! Effective 10/1 - Claim Adjustment Requests InterQual® SmartSheets™ available on secure site POA reporting to affect DRG assignment effective October 10 Update: July preregistration and inpatient reports Coverage changes for commercial products Recent clinical coverage updates Criteria change for polysomnogram: sleep studies Tufts Medicare Preferred - recent Medicare determinations Reminder: Echocardiography privileging changes Reimbursement change: E&M services Non-reimbursable codes Are you a Select Network provider? UM guidelines support quality care

News and Information

Left Navigation Changes to the Secured Provider Portal National Depression Screening Day October 10 Update: Utilization Review for Our PPO-MultiPlan/PHCS Plans Tufts Health Plan contracts with MinuteClinic Utilization review for CareLinkSM pharmacy benefit Reminder: Preferred infertility medications transition Important reminder: CareLinkSM claim submissions Commercial Provider Manual updated Reminder to physicians who prescribe Rituxan