Harvard Pilgrim Updates Eylea Medical Policy and 2017 Fee Schedule

January 2017 ~

Harvard Pilgrim has updated its Eylea Medical Policy as well as made updates to its 2017 Fee Schedule.

Update to Eylea Medical Policy

Effective for dates of service beginning March 15, 2017, Harvard Pilgrim has updated the Eylea Medical Policy to remove some codes that were not consistent with the policy’s intent.

The policy will be updated to include ICD-10 codes newly released by CMS, which will be retroactively effective to October 1, 2016.

For complete information, refer to Harvard Pilgrim’s updated Eylea Medical Policy.

2017 Fee Schedule Updates

Effective April 1, 2017, Harvard Pilgrim will update its Standard Professional Fee Schedule. These updates incorporate recently released Medicare relative value units (RVUs) and laboratory rates for 2017.

Also to take effect on April 1, 2017, the Durable Medical Equipment (DME) Fees will be updated and, according to the insurer, may also include changes resulting from Harvard Pilgrim’s annual review of purchase (NU), maintenance (MS), and rental (RR) terms.

2017 sample fee schedules can be requested, beginning mid-February, by calling the Provider Service Center at 800-708-4414.


Source(s): Harvard Pilgrim Health Care;