All PlansAdministrativeMedium impact
Guide to navigating the prior authorization process
Harvard Pilgrim Health Care·Prior Authorization
We identified it
Jul 15, 2026
Summary
Point32Health has released a new Quick Reference Guide and instructional video to streamline their prior authorization process. This is a procedural update designed to improve provider workflows for submitting and tracking prior authorization requests, with emphasis on preventing unnecessary claim denials and appeals.
Action Required
Immediately: Billing team and clinical staff should access and review the new Point32Health Quick Reference Guide and accompanying video on prior authorization resources available at https://www.point32health.org/provider/guide-navigating-prior-authorization-process-072026. Distribute these resources to all staff members involved in prior authorization requests, including providers, billing staff, and administrative personnel. Implement the streamlined submission and tracking processes outlined in the guide into your daily workflows to reduce claim denials. Train staff on the new resources and keep them accessible for reference. Failure to utilize these updated processes may result in delays in prior authorization approval and unnecessary claim denials.