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Harvard Pilgrim Health Care is a non-profit health services company based in Canton, Massachusetts serving the New England region of the United States. On August 14, 2019, the boards of Harvard Pilgrim Health Care and Tufts Health Plan announced plans for the two insurers to merge their organizations into a new company.
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It completed a merger with Harvard Pilgrim Health Care on January 1, 2021, making the then unnamed company the second-largest health insurer in Massachusetts. [2] [3] The merger had been announced on August 14, 2019; the combined company serves 2.4 million members in Massachusetts, Maine, Connecticut, New Hampshire, and Rhode Island.
Harvard Pilgrim is an insurance company that sells Medicare Advantage plans and Medicare supplement (Medigap) plans. It sells these plans to people who live in Massachusetts, Maine, and New Hampshire.
Denied Claims. These claims are properly filed but do not meet the payor’s criteria for payment. Common reasons include billing for services not covered by the plan, highlighting the importance of verifying insurance coverage during patient registration. Denied claims require investigation to identify the issue and prevent future occurrences.
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He was the interim chief executive officer (handpicked by Charlie Baker [1]) and formerly chief operating officer of Harvard Pilgrim Health Care, Inc. (HPHC), a non-profit healthcare services entity formed from the merger of the Harvard Community Health Plan and Pilgrim Health Care