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January 4, 2021 update
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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, claims adjustment functionality 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.