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January 4, 2021 update
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Tufts Health Plan distributes its Provider Update* newsletter by email. In order to receive Provider Update, you must complete the online registration form.
*Copies of this information can be made available upon request by calling the appropriate Tufts Health Plan Provider call center.
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This Products Overview and Member ID Card Guide can assist in determining cost-share amounts and more.
Tufts Health Plan's clinical practice guidelines help ensure quality preventive care and care management.
Payment policies and provider manuals assist you with submitting claims and doing business with Tufts Health Plan.
Credentialing and contracting are Tufts Health Plan's formal processes for adding providers to the Tufts Health Plan network and ensuring these providers give members quality care consistent with recognized managed care organization industry standards.
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Tufts Health Plan offers a wide range of electronic solutions, including member eligibility status, benefit information, claim submission, and clinical information.
We recognize diversity to be a key driver of innovation to deliver high-quality products, services and experiences for our members.
Tufts Medicare Preferred HMO and Tufts Health Plan Senior Care Options Plans Earn Highest Rating from Centers for Medicare and Medicaid Services.