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Provider Manuals assist you with doing business with Tufts Health Plan.
Payment policies assist you with submitting claims to Tufts Health Plan.
Need information about our plans, authorization requirements, and what's covered under each plan?
Tufts Health Plan's clinical practice guidelines help ensure quality preventive care and care management.
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.
Enjoy the cost and time-savings of one-stop access to member eligibility, claims, authorization information, and more. We will walk you through the registration process.
Tufts Health Plan offers a wide range of electronic solutions, including member eligibility status, benefit information, claim submission, claims adjustment functionality and clinical information.
Tufts Medicare Preferred HMO and Tufts Health Plan Senior Care Options Plans Earn Highest Rating from Centers for Medicare and Medicaid Services.