CommercialAdministrativeLow impact
ChoiceNet: no tiering changes for 2026
Harvard Pilgrim Health Care·MA·Provider Newsletter
Effective date
Jan 1, 2026
We identified it
Jun 26, 2026
Summary
Point32Health is maintaining all existing provider tier assignments for Harvard Pilgrim's ChoiceNet HMO and PPO plans in 2026 without any changes. Providers' current 2025 tier classifications will automatically carry forward to 2026, meaning no billing team action is needed to update tier status or member cost-sharing tiers.
Action Required
No immediate action required. Billing and credentialing teams should note that 2025 provider tier assignments remain valid for 2026 ChoiceNet HMO and PPO claims. Verify your practice's current tier assignment in Harvard Pilgrim's Provider Directory (which already reflects 2025 tiers) and confirm this tier will apply throughout 2026. No updates to billing software, encounter forms, or authorization workflows are necessary.