Welcome Providers
Resources and information for providers and office staff
Welcome Providers
Resources and information for providers and office staff
Policies, Manuals & Forms
Behavioral health
Training
News Insights and Updates for Providers - November 2024
Observation Stay Payment Policy and process change
Effective Jan. 1, 2025, Point32Health is making a change to our review process for short inpatient stays and observation services.
New prior authorizations for Senior Products in 2025
We continually evaluate the prior authorization requirements we have in place to promote medical necessity and clinical appropriateness, and are instituting new requirements for a number of services.
Senior Products: 2025 formulary coverage changes
Point32Health is incorporating a number of updates to our Tufts Health Plan Senior Products drug formularies for the 2025 plan year.
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:
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Join our network
Learn more about participating in Point32Health’s provider network for our Harvard Pilgrim Health Care and Tufts Health Plan products.
Become a participating provider
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Coordination of Benefits Video Short
Learn more about coordination of benefits processes for scenarios involving Medicaid, Medicare, and third-party payers, as well as members with multiple Commercial plans. This quick video gives an overview for providers on the rules for determining primary coverage in a variety of circumstances.
With the Point32Health Provider site, we aim to make it easy for you to work with us to support our members’ health and wellbeing — including providing you and your office staff with updated information for both our legacy brands, Harvard Pilgrim Health Care and Tufts Health Plan. While we still offer provider information on the sites of our legacy brands, over time you’ll see more provider information and resources move to these pages.
