Insurance regulators in Massachusetts are examining Point32Health after the company reported a data breach affecting its Harvard Pilgrim commercial and Medicare Advantage plans, State House News Service reported May 29.
The Boston Globe reported May 23 that the incident left the payer unable to process claims or prior authorization requests for more than a month. GBH News, the local PBS station, reported May 18 that some members were unable to use their health benefits entirely and were told by providers their coverage had been terminated.
The incident involved data that was copied and taken between March 28 and April 17, and it is unclear how many individuals have been affected. Harvard Pilgrim said in a May 23 news release that the files at issue may contain information about current and former members and their dependents, along with current contracted providers. Specifically, the information may include names, addresses, phone numbers, birthdays, health insurance account information, Social Security numbers, provider taxpayer identification numbers and clinical information
According to the SHNS report, state regulators are monitoring how the incident could impact the company, members and providers, along with what resources Point32Health is providing members and providers.