Payment Policy Updates

As part of our integration work as a combined organization, we are reviewing and assessing existing Harvard Pilgrim Health Care and Tufts Health Plan Payment Policies, both as part of our typical annual review and to assess opportunities for consistency.

We expect this work to continue over the course of the next year. The policies listed below are scheduled for review over the course of the next few months.

May Updates
  • Imaging Services Payment Policy
  • Allergy Testing Professional Payment Policy
  • Ambulance and Transportation Services Payment Policy Commercial
  • Nutritional Counseling Professional Payment Policy
  • Inpatient Rehabilitation and Long-Term Acute Care Facility Payment Policy
  • Skilled Nursing Facility Payment Policy
  • Telemedicine Services Professional Payment Policy
  • Cardiology Services Professional Payment Policy
June Updates
  • Dermatology Professional Payment Policy
  • Early Intervention Payment Policy
  • Emergency Department Services Payment Policy
  • Hospice Payment Policy
  • Observation Services Facility Payment Policy
  • Podiatry Professional Payment Policy
  • Preventive Services
July Updates
  • Surgery Professional Payment Policy
  • Limited Services Clinics Payment Policy
  • Ambulatory Surgical Center Payment Policy
  • Maximum Units Policy
  • Modifier Payment Policy
  • Professional Services and Facilities Payment Policy


This page contains the most up-to-date information about Tufts Health Plan's payment policy integration with Harvard Pilgrim Health Care.  As the integration continues, updates will be posted here. Please check back regularly.