Insights and Updates for Providers - April 2025
GLP-1 weight management medication coverage changes
We’re making changes related to coverage of GLP-1 weight management medications, to provide access to the most appropriate and efficacious health care options while managing health care costs.
Updates to Inpatient Hospital Admissions Payment Policy
Point32Health is making updates to our Inpatient Hospital Admissions Payment Policy, effective for dates of service beginning June 1, 2025.
Clarified billing reminder: ASC services
We’re offering a reminder and some additional clarification concerning correct coding practices to keep in mind when billing for ambulatory surgical center services.
Electronic Tools and Resources
Our electronic transaction capabilities make doing business with us quick and efficient. Explore our electronic services and learn about our secure portal capabilities for:
Join the network
We invite you to join us in ensuring that our communities have access to high-quality, equitable health care by becoming a participating provider.
Our plans
Learn more about the diverse range of health plans we offer under our legacy brands, Harvard Pilgrim Health Care and Tufts Health Plan.
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Short video: Checking referrals, notifications, and authorizations in HPHConnect
We’ll show you how to use the Harvard Pilgrim Health Care secure portal, HPHConnect, to check the status of a referral, notification, or authorizaton request. The video shares step-by-step instructions and time-saving tips.