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Network Health


ADA Accessibility SurveyADA Accessibility Survey

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Help our members learn more about you, so they can get the right care to meet their unique health care needs. Promote your Americans with Disabilities Act (ADA)-compliant, high-quality care!

Please take this important survey as soon as possible.

Note: All providers contracted with Tufts Health Unify (Medicare-Medicaid One Care for people ages 21 - 64) are required to complete this survey, however we strongly encourage all providers to participate.


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Doing Business with Network HealthDoing Business With Us and Getting Paid

News and UpdatesNews and Updates

05/07/2015  —  Prior authorization updates

We will require additional prior authorization for certain in- and out-of-network outpatient same-day surgeries beginning June 1, 2015. This means if you are requesting for your patient one of the specific outpatient procedures on the list that follows, you will need to request prior authorization from us.

04/06/2015  —  Insulin products moving to noncovered

Effective for fill dates on or after June 1, 2015, the insulin products manufactured by Novo Nordisk Pharmaceuticals (all Novolin® and NovoLog® products) will no longer be covered for Tufts Health Unify members newly starting insulin treatment.

03/31/2015  —  PPC, SRE, and SRAE

Beginning June 1, 2015, if a provider submits a PPC, SRE, or SRAE claim without a diagnosis-specific Present on Admission (POA) indicator(s) in accordance with federal and Commonwealth requirements, we will deny the claim and return it to the provider

12/31/2014  —  Important news about member ID cards

Some Tufts Health Plan – Network Health members who enrolled through the Health Connector for coverage effective January 1, 2015, have not received their member ID cards yet.

12/16/2014  —  Tufts Health Together coverage update
MassHealth recently released guidance about medicaid health plans covering certain medically necessary transgender services.

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Searchable Drug ListSearchable Drug List

Learn more about which drugs are covered by checking our Preferred Drug Lists (PDF).


Together UnifyDirect  

ICD-10 EDI TestingICD-10 EDI Testing


Attention direct claims submitters: The U.S. Department of Health and Human Services (HHS) has mandated that ICD-10 code sets replace ICD-9 code sets on October 1, 2015. We are now conducting ICD-10 electronic data interchange (EDI) testing. 


If you haven't done so already, please contact us at EDI@tufts-health.com to begin this essential testing process.


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