Important updates on reaching us by phone, email, and fax
We’re modifying the way we accept requests for authorizations, notifications, and referrals across Point32Health, and recommend electronic and fax options for greater efficiency.
We’re modifying the way we accept requests for authorizations, notifications, and referrals across Point32Health, and recommend electronic and fax options for greater efficiency.
Join us on Wednesdays in September for our upcoming Living Well webinar series: Healthy Habits to Get the Most Out of Every Moment.
Please review and revalidate your practice information every 90 days to ensure accuracy of our Provider Directory, and notify Point32Health in advance of any changes.
Help ensure patients taking antipsychotic medications receive annual screenings by ordering in-office point of care HbA1c or fasting glucose tests for diabetes and monitoring cholesterol.
Point32Health provides interpretation services for hundreds of languages, along with cultural competency training opportunities, to ensure providers are mindful of patients’ cultural and linguistic needs.
Point32Health offers many resources, including our Coordination of Care Check List, for providers with patients living with chronic physical and/or mental illness.
September and October are good times to vaccinate against the flu, and providers play a vital role in keeping patients informed to make healthy decisions.
Timely follow-up and patient education are key to ensuring effective transition of care interventions and preventing hospital readmissions within 30 days.
When billing for an office visit with more than one service, providers should report all service codes related to the visit on one claim.
We are providing reminders and strategies for improvement on the FUH and IET HEDIS measures to maximize the opportunity for success.
Refer to this chart to review changes and updates to Point32Health’s Medical Necessity Guidelines, information about newly developed MNGs, and more.
Refer to this chart to review changes and updates to Point32Health’s medical drug program, including information about prior authorization, coverage updates, and more.
We encourage providers to use electronic options for a variety of transactions, as the Provider Service Center will be discontinuing its email account.
We annually review our provider network and may terminate providers who have not provided services to our members in the past two years.
To ensure accurate claims processing, claims submitted to Point32Health are subject to regular edits based on regulatory guidelines, medical society recommendations, and more.
When billing our members for services delivered through the Psychiatric Collaborative Model of Care, it’s important to use the procedure codes identified here.
To align with industry standard coding practices, Point32Health is making updates to our General Coding and Claims Editing Payment Policy.
Refer to this chart to review changes and updates to Point32health’s Medical Necessity Guidelines, information about newly developed MNGs, and more.
Refer to this chart to review changes and updates to Point32Health’s medical drug program, including information about prior authorization, coverage updates, and more.
We’ve launched maternity sections of our Point32Health and Harvard Pilgrim member websites for those in all stages of family planning and care.
We’ve developed a new HEDIS tip sheet related to the Glycemic Status Assessment for Patients with Diabetes measure, highlighting best practices to support your practice.
This quick reference guide highlights differences among the contracting, enrollment, and credentialing processes required to become a network provider.
Access the recorded version of Dr. Jud Brewer’s Hunger Habit workshop on the Boston University Center for Continuing Education website until April 22, 2025.
Providers must review and revalidate their information every 90 days to ensure accuracy of our Provider Directory, and notify Point32Health in advance of any changes.
Refer to this chart to review changes and updates to Point32health’s Medical Necessity Guidelines, information about newly developed MNGs, and more.
Refer to this chart to review changes and updates to Point32Health’s medical drug program, including information about prior authorization and coverage, updated MNGs, and more.
We invite you to register for one of our many interactive training sessions during the month of July.
This Quick Reference Guide offers providers tips on how to determine which plans have the primary obligation to provide benefits.
Point32Health is assessing our reimbursement platforms and making updates to better manage coding for DME and the application of regulatory requirements.
Point32Health will begin reviews of facility ER claims to determine the appropriateness of the E/M level of care submitted.
Point32Health offers various language interpretation services for members and their providers, who may need assistance beyond their practice’s resources.
Point32Health emphasizes the importance of maintaining a standard medication reconciliation procedure to avoid patient medication errors.
Providers and office staff can refer to this chart to review changes and updates to Point32Health’s Medical Necessity Guidelines.
Refer to the information in this chart for details on updates to Point32Health’s medical benefit drug prior authorization programs.
We are introducing an integrated Point32Health Clinical Trials Payment Policy, which outlines information pertaining to Harvard Pilgrim and Tufts Health Plan.
We invite you to join one of our many interactive training webinar sessions throughout the month of June — register today!
All products now have restored electronic claims submission connectivity with Change Healthcare.
Please conduct depression screening during routine medical office visits.
Collaboration between PCPs and BH providers for high quality patient care.
Join us for Dr. Amishi Jha’s Peak Mind webinar!
Access to care policies for Tufts Health Plan and Harvard Pilgrim.
Read more to review updates to Point32Health Medical Necessity Guidelines.
We’re offering several interactive webinars throughout the month of March.
We’re extending the authorization waiver for admissions to sub-acute and rehab facilities.
As a reminder, Point32Health does not allow balance billing of our members.
We offer resources and guidelines for prescribing buprenorphine for opioid use disorder.
Screen for unhealthy alcohol/substance use in the primary care setting.
Read more to review updates to Point32Health Medical Necessity Guidelines.
New and updated Point32Health medical drug prior authorization programs.
We have created an integrated Point32Health Payment Policy for Acupuncture.