Insights and Updates for Providers - January 2025

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Reference our key contact information

We want to highlight some key contact information and resources for providers contacting us for support, such as our online provider portals and Provider Services team.

Continued stay and inpatient level of care reviews

We’re sharing a reminder regarding continued stay reviews for DRG case rate admissions, and an update to our level of care review process for elective inpatient surgical procedures.

Administration of CAR T-cell drugs

In response to provider feedback, we will no longer require prior authorization for the preparation and administration of the following CAR T-cell therapy medications.

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.

Become a contracted 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.  

View our plans

  • 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.

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.