Avoiding Administrative Claim Denials
Tips for avoiding administrative claim denials for Harvard Pilgrim Health Care and Tufts Health Plan.
Claim Submission Overview
Tips on how to submit claims to Harvard Pilgrim Health Care and Tufts Health Plan.
Identifying Member Eligibility and Cost Share
A review of how to confirm member eligibility and cost share for Harvard Pilgrim Health Care and Tufts Health Plan members.
Navigating the Provider Websites
Helping providers find the documents, tools and resources they use most.
New Provider Orientation
Developed for new providers to help them access the tools and resources they need to work with Point32Health.
Provider Payment Disputes
An overview of how to submit provider payment disputes for Harvard Pilgrim Health Care and Tufts Health Plan.
Referrals, Prior Authorizations and Notifications Overview
Reviewing how do determine when a referral, prior authorization, or notification is needed, and how to submit them for Harvard Pilgrim Health Care and Tufts Health Plan.
Transitions of Care – Best Practices for Providers
A review for PCP practices of required documentation and patient engagement after an inpatient discharge.
Office Managers Meeting
Our Office Managers Meetings cover news and information for providers, and offer an opportunity for you and your staff to ask questions about topics important to you.
Office Managers Meeting
Our webinars guide you in working together efficiently to ease your administrative burden. Our Office Managers Meetings cover news and information for providers, and offer an opportunity for you and your staff to ask questions about topics important to you.
Tufts Health Public Plans Overview
A review of Tufts Health Public Plans and resources to support you and your office staff.
Senior Products Overview
A review of our Senior products and resources to support you and your office staff.
Tufts Health Plan Senior Care Options Overview
Review resources for Tufts Health Plan Senior Care Options and the Model of Care.