As part of our Commercial product integration, we have been migrating Tufts Health Plan Commercial members to Harvard Pilgrim Health Care Commercial plans. Much of this work has been completed, and we expect to migrate the remaining Commercial accounts by June 2025, with the exception of US Family Health Plan which remains through December 2025.
When submitting claims for members who have switched plans, please remember to submit claims to the health plan based on the member’s eligibility on the date of service. To avoid incorrect claims processing or rejections/denials, do not submit claims for the same service to both organizations.
For services that span the date the member migrates to a new plan, such as inpatient care, you may submit the claim to the health plan based on the admission date. We will review the claim and ensure that it is processed accordingly by the appropriate health plan.
If you have questions or need additional support, please contact Harvard Pilgrim’s Provider Services at 800-708-4414.