Insights and Updates for Providers - April 2025

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Claims editing platform updates

In an effort to consistently apply industry standard claims edits reflecting national correct coding and guidelines from state regulatory agencies, we’re making updates to align our claims editing platforms.

MassHealth coverage change for rapid-acting insulin products

Prior authorization is now required for Tufts Health Together members prescribed insulin Aspart, to encourage the use of cost-effective short-acting insulin agents.

Audiology Payment Policy updated with new claim edits

We’re making some updates to our Audiology Payment Policy and associated billing and reimbursement practices, effective for dates of service beginning June 1, 2025.

Updates on our integration

Learn more about the work we’ve done and what’s ahead for Point32Health.

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