Insights and Updates for Providers - February 2025
Initial inpatient admission notification
As of April 1, 2025, Point32Health must be notified within one business day following a member’s admission to an inpatient facility for certain products.
CareLink claims runout
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.
Noncovered Investigational Services
Our newly developed MNG, effective April 1, 2025, details Noncovered Investigational Services for Tufts Medicare Preferred and Tufts Health Plan Senior Care Options.
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.
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.