• Claims Updates
  This page provides updates on Harmony Health Plan's claims processes, ensuring that provider claims are handled efficiently.
   
• Forms & Documents
  This section is a repository of forms and documents to be used by all providers and institutions when managing care for our members.
   
• Clinical Coverage Guidelines
  Clinical Coverage Guidelines (CCG) are evidence-based documents detailing the medical necessity of given procedures or technologies. The guidelines set consistent criteria for the coverage of a procedure or technology, leading to greater consistency and efficiency in clinical decision making.
   
• Provider Manual
  The Provider Manual is a resource for physicians with guidelines on health plan coverage procedures, policies and other information related to the provision of health care services to our members. This document should be used simultaneously with the Quick Reference Guide, Benefit Grids for CFC and / or ABD, and the online tools available through the secured area of our Web site.
   
• Provider Quick Reference Guide
  The Quick Reference Guide is a resource that contains Harmony Health Plan contact information and authorization guidelines. Please refer to the version on this site to ensure you are using the most current information.
   
• Provider Newsletters
  Harmony produces newsletters to update providers on information related to pharmaceuticals, cost and quality of care or share tips on how to perform better and more efficient business with the plan. The newsletters are also used to highlight recent successes, such as accreditations and quality scores.

2010: Issue II
Winter 2009
Fall 2009
Summer 2009
Spring 2009
Winter 2008
Fall 2008
Summer 2008
Spring 2008
Fall 2007
Winter 2007