
Harvard Pilgrim Provider Appeal Form


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People also ask
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Does Harvard have a mental health program?
CAMHS delivers an array of mental health services and helps students connect with the many additional resources available within and beyond Harvard. In-the-moment support is available 24/7 through the CAMHS Cares Line, and same-day Urgent Care visits can be scheduled at CAMHS during business hours.
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Is Harvard Pilgrim good healthcare?
Yes, Harvard Pilgrim has consistently earned high ratings from customer surveys and from third-party organizations like the National Committee for Quality Assurance (NCQA). The company sells several kinds of health insurance with good coverage and perks.
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What is the filing limit for Harvard Pilgrim corrected claims?
Harvard Pilgrim within 90 days from the date the other insurer processed the claim.
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How do I contact Harvard Pilgrim member services?
Ask Member Services If you have questions about your benefits and coverage, we can help! Simply call our Member Services team at (888) 333-4742 (TTY: 711) or send a secure message (requires login). You can also see if we have already answered your questions in our Ask Member Services FAQs.
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How do I appeal to Harvard?
Ordinarily, students will have only one opportunity to request a reconsideration of a decision. All reconsiderations may be filed by submitting materials to adboard@fas.harvard.edu, with students copying their Resident Dean and Academic Coordinator.
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What is the timely filing limit for Harvard Pilgrim appeal?
submission to Harvard Pilgrim is 180 days from the date that the primary insurer retroactively denied a previously paid claim. claim submission is 365 days from the date of the denial.
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Does Harvard Pilgrim reimburse for mental health?
Yes, nearly all Harvard Pilgrim insurance plans cover mental health. Under the Affordable Care Act (ACA), mental and behavioral health treatment must be covered as essential health benefits.
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Does Harvard Pilgrim cover neuropsychological testing?
Outpatient Services Psychological testing and neuropsychological assessment $20 Copayment per visit. Covered in full.
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