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Medical Policy Updates - Harvard Pilgrim Health Care

    https://www.harvardpilgrim.org/provider/medical-policy-updates/
    Percutaneous Posterior Tibial Nerve Stimulation (PTNS) Medical Policy. Commercial. Nov. 1, 2022. New Medical Policy. CPT code 64566 will be covered, with prior authorization. The policy outlines the criteria that must be met for coverage/authorization. Breyanzi Medical …

Provider Manual - Harvard Pilgrim Health Care - Provider

    https://www.harvardpilgrim.org/provider/provider-manual/
    The online Provider Manual represents the most up-to-date information on Harvard Pilgrim products, programs, policies and procedures. Information found online may differ from …

Commercial Medical Necessity Guidelines - Harvard …

    https://www.harvardpilgrim.org/provider/prior-authorization/commercial-medical-clinical-policy/
    Please note: This page includes medical necessity guidelines (both authorization and non-authorization) as well as some administrative authorization policies (which include a PM …

Updates to Non-Covered Services Medical Policy

    https://www.harvardpilgrim.org/provider/updates-to-non-covered-services-medical-policy-2/
    Harvard Pilgrim is updating our commercial New Technology Assessment and Non-Covered Services Medical Policy, effective for dates of service beginning June 1, 2022, …

Home | Harvard Pilgrim Health Care

    https://www.harvardpilgrim.org/public/home
    Harvard Pilgrim is a leading not-for-profit health services company serving members in Connecticut, Maine, Massachusetts, New Hampshire & beyond. ... quantity limits & step therapy policies; …

Payment Policies - Harvard Pilgrim Health Care - Provider

    https://www.harvardpilgrim.org/provider/provider-manual/payment-policies/
    Payment Policies. Acupuncture. Allergy Testing and Treatment. Ambulance Transport. Anesthesia. Audiology. Behavioral Health-Division of Financial Responsibilities. Bilateral …

Medicare Advantage Medical Necessity Guidelines

    https://www.harvardpilgrim.org/provider/medicare-advantage/medicare-medical-clinical-policy/
    Harvard Pilgrim uses written criteria based on sound clinical evidence to evaluate the medical appropriateness of health care services. Our StrideSM (HMO/HMO-POS) …

Point32Health - Point32Health

    https://www.point32health.org/
    Harvard Pilgrim Health Care and Tufts Health Plan have combined to form Point32Health. Together, our organizations provide a broad range of medical and specialty health …

Harvard Pilgrim Health Care Medical Policy …

    https://policyalerts.com/harvard-pilgrim-health-care-medical-policy-updates-september-2022/
    September 2022 Harvard Pilgrim Health Care Medical Policy Updates: Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance …

New Telehealth Payment Policy to Replace Interim …

    https://www.harvardpilgrim.org/provider/new-telehealth-payment-policy-to-replace-interim-covid-19-policy/
    For dates of service beginning Sept. 1, 2022, this interim policy will be retired, and Harvard Pilgrim’s new Commercial Telehealth/Telemedicine Payment Policy will take effect. With …



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