Welcome Providers
Resources and information for providers and office staff
Welcome Providers
Resources and information for providers and office staff
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News Insights and Updates for Providers - March 2025
Content centralized to Point32Health provider website
When submitting claims for members who have switched plans, please remember to submit claims to the health plan based on the member’s eligibility on the date of service.
Commercial migration reminder: avoid duplicate claims
As part of our Commercial integration, members who were enrolled in CareLink have been migrated to a Harvard Pilgrim plan, and it’s important to submit any outstanding claims on or before Dec. 31, 2025.
Skilled nursing care: prior authorization update
We have amended a previous decision and prior authorization will not be required for skilled nursing care for Tufts Medicare Preferred members.
Electronic Tools and Resources
Our electronic transaction capabilities make doing business with us quick and efficient. Explore our electronic services and learn about our secure portal capabilities for:
Join the network
We invite you to join us in ensuring that our communities have access to high-quality, equitable health care by becoming a participating provider.
Our plans
Learn more about the diverse range of health plans we offer under our legacy brands, Harvard Pilgrim Health Care and Tufts Health Plan.
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Short video: Checking referrals, notifications, and authorizations in HPHConnect
We’ll show you how to use the Harvard Pilgrim Health Care secure portal, HPHConnect, to check the status of a referral, notification, or authorizaton request. The video shares step-by-step instructions and time-saving tips.