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Be in the know! Our monthly provider newsletter, Insights and Updates for Providers, is posted online at www.point32health.org/provider, but by registering below you’ll receive a copy directly to your email. 


 

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MORE RESOURCES TO

WORK BETTER TOGETHER
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Provider Manuals assist you with doing business with Tufts Health Plan.

Doing business with us.

View Provider Manuals
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Payment policies assist you with submitting claims to Tufts Health Plan.

Claims submission.

View Payment Policies
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Need information about our plans, authorization requirements, and what's covered under each plan?

We're here to help.

Our Plans
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Tufts Health Plan's clinical practice guidelines help ensure quality preventive care and care management.

Ensuring quality care.

View Guidelines
Credentialing and Contracting

Join the Tufts Health Plan network

Credentialing and contracting are Tufts Health Plan's formal processes for adding providers to the Tufts Health Plan network and ensuring these providers give members quality care consistent with recognized managed care organization industry standards.
 

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SAVE TIME + REDUCE COSTS WITH OUR

ONLINE TOOLS AND RESOURCES
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SECURE PROVIDER PORTAL

Enjoy the cost and time-savings of one-stop access to member eligibility, claims, authorization information, and more. We will walk you through the registration process.

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ELECTRONIC SERVICES

Tufts Health Plan offers a wide range of electronic solutions, including member eligibility status, benefit information, claim submission, claims adjustment functionality and clinical information.

Quality of Care

Tufts Health Plan recognized for its quality and performance

Tufts Medicare Preferred HMO and Tufts Health Plan Senior Care Options Plans Earn Highest Rating from Centers for Medicare and Medicaid Services.
 

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Vendor Information

Tufts Health Plan works with vendors to review certain claims and authorizations


 

Our Vendors