Effective for claims submitted on or after Sept. 1, 2024, Point32Health will end the temporary claims timely filing and claims adjustment waiver that we instituted related to the Change Healthcare cybersecurity event and will return to our standard requirements for all lines of business.
To support providers who utilize Change Healthcare, a subsidiary of Optum, as a clearinghouse while connections were being restored, Point32Health temporarily waived timely filing limits for affected providers for Harvard Pilgrim Health Care Commercial, Tufts Health Plan Commercial, Tufts Health Public Plans, and Tufts Health Plan Senior Products. Additionally, claims adjustment/replacement claims were temporarily waived for Harvard Pilgrim Health Care Commercial, Tufts Health Plan Commercial, and Tufts Health Public Plans.
With electronic claims submission connections to Change Healthcare/Optum (via iEDI and RelayHealth) restored (see the May newsletter announcement) for claims submitted on or after Sept. 1, 2024, our standard timely filing and claim adjustment requirements will resume.
For the latest information, including a list of all available clearinghouses/trading partners, please refer to the Our Response to Change Healthcare’s Cybersecurity Incident page. To view our standard timely filing and claim adjustment requirements, refer to the claims sections of our Provider Manuals.
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