MedicaidAdministrativeMedium impact
Provider Service Center reminders
Harvard Pilgrim Health Care·MA, RI·Provider Newsletter
Effective date
Oct 22, 2025
We identified it
Jun 20, 2026
Summary
Tufts Health Public Plans is experiencing high appeal volumes with processing times extending to 120+ days, and temporarily reducing Provider Service Center hours from October 22, 2025 to December 31, 2025. Appeals submitted within the last 120 days cannot receive status updates during this period.
Action Required
Immediately: Billing team must adjust expectations for Tufts Health Public Plans appeals - allow full 120+ days before status inquiries. Update appeal tracking system to note that appeals submitted within last 120 days cannot receive status updates. Contact Provider Service Center only during reduced hours: 9 AM-noon and 1-4 PM ET, Monday-Friday through December 31, 2025. Utilize self-service provider portal for routine inquiries instead of calling.