Provider.bluecrossma.com

Provider Central

WebClick here for the most updated information on how we’re supporting providers during the Change Healthcare cybersecurity event. Blue Cross Blue Shield of Massachusetts …

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URL: https://provider.bluecrossma.com/ProviderHome/portal

Change Healthcare Event

WebMarch 20, 2024: Added Change Healthcare Assistance Program website link and details. March 19, 2024: Updated the MassHealth office hours. Check their website for upcoming …

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Billing Guidelines & Resources

WebUse this billing guideline for information on certain preventive care services that are available without a cost to members. As always, please check member benefits and …

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Claim Submission

WebFor Federal Employee Program members, submit claims with a single letter "R" and the member ID number. Please make sure that your claim submission systems can …

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Credentialing & Recredentialing

WebBlue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., …

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Professional Credentialing and Recredentialing Requirements

WebTo streamline the process and reduce work for practitioners, Healthcare Administrative Solutions, Inc. (HCAS) coordinates the initial and recredentialing process and primary …

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REQUIRED INFORMATION FOR OUTPATIENT MENTAL …

WebAuthorization manager tips • Outpatient Mental Health Services INTRODUCTION Use these tips when you submit a request for outpatient authorization using the Authorization …

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Plans & Products

WebAs a reminder, Shields provides imaging services, such as MRI, and PET/CT scans for our members in both freestanding centers and within some hospital locations. They also offer …

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Telehealth FAQs for providers

Web5 A Yes, however providers who perform the service are responsible for determining the appropriateness of telehealth for the visit. Q What services can a telehealth doctor …

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1500 Claim Form—Appendix to NUCC Guide

WebThis is an addendum to the National Uniform Claim Committee 1500 Health Insurance Claim Form Reference Instruction Manual Our guide provides specific instructions to …

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Payspan quick start guide

WebOn the home page, click Your Payments. 2. The Your Latest Payments screen will appear. Depending on your level of permissions, you’ll be able to confirm your new payments, …

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Chiropractic Services Authorization Program Guide

Web3 Introduction This guide is intended to help you with the authorization process for chiropractic services. Authorization program overview WholeHealth Living, Inc., a Tivity …

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MPC 121515-2T Contract Update for BH Professionals 1.16

WebSend completed form to [email protected] or fax 617-246-5053. If emailing, please include practitioner’s Last Name, First Name in the Subject. Use this …

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INTRODUCING: UNIVERSAL PROVIDER REQUEST FOR CLAIM …

Web5 (continued on next page) Massachusetts Collaborative — Introducing: Universal Provider Request for Claim Review Form June 2023 Category Documentation Requirement

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