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    Contacts & Sites

    Contacting us

    If you need to verify member benefits or eligibility, or understand the status of a claim, a check, or an authorization request, you are required to use our technologies first.

    Here is information about some self-service tools you can use:

    Still have questions? We're here to help.

    • Authorizations

       Authorization Quick Tip

      Authorization Manager

      HMMAuthorizationManager@bcbsma.com

      Behavioral health authorizations

      1-800-524-4010

      Medical pre-authorizations and referrals

      (except chiropractic, genetic testing, high-technology radiology, sleep study)
      1-800-327-6716

      Chiropractic service authorizations

      WholeHealth Networks, Inc. (WHN)
      WHN's Rapid Response System
      1-866-726-1713
      WHN's Support Line
      1-866-656-6071

      To access the Rapid Response System online, log in and click the Chiro Authorizations link on your homepage.

      Genetic testing, high-technology radiology, outpatient cancer care, and sleep-related service authorizations

      (when the member’s plan requires authorization via Carelon Medical Benefits Management for coverage)

      Carelon (formerly AIM Specialty Health)
      Provider PortalSM
      1-866-745-1783

      You can go directly to Carelon’s site to request prior authorization by logging in and going to eTools>Carelon.

    • Benefits, eligibility, & claims

      Medical providers

      On these Fridays, we’re open only for benefits and eligibility requests:
      April 14 and 28
      May 12 and 26
      June 9
      July 21
      August 4 and 18
      September 1 and 15

      Provider Services
      1-800-882-2060 (Physicians)
      1-800-451-8123 (Hospitals)
      1-800-451-8124 (Ancillary Providers)

      Dental providers

      Dental Provider Services
      1-800-882-1178

      BlueCard® member eligibility

      (members from another Blue plan)
      1-800-676-BLUE (2583)

    • Pharmacy

      Commercial plans and Medicare Advantage

      Pharmacy Operations
      1-800-366-7778

      Federal Employee Program

      CVS/Caremark
      1-877-727-3784

    • Technology

      Payspan help

      Payspan Inc.
      1-877-331-7154

      Provider Central and EDI help

      providercentral@bcbsma.com
      1-800-771-4097, Option 2
      Normal hours:

      Mon - Thurs: 8am - 4pm
      Fri: 8am - 1pm

    • Contracting

      Medical providers

      Check your network application status:
      ProviderApplicationStatus@bcbsma.com

      Other contracting questions:
      Network Management and Credentialing Services
      1-800-316-BLUE (2583)

      Dental providers

      Dental Network Management
      1-800-882-1178

    • Fraud

      Report fraudulent activity:
      1-800-992-4100

    Sites

    Medical policies

    Commercial plans and Medicare Advantage:
    bluecrossma.org/medical-policies/
    (To comment on medical policies, please email ebr@bcbsma.com.)

    Federal Employee Program:
    fepblue.org

    Note: Provider Central’s search feature does not search the medical policy sites.

    Member resources

    MyBlue

    Members visit bluecrossma.org for:

    Blue365

    Members visit blue365deals.com for health and wellness deals.

    Plan and product information

    Medical and dental plan comparison tool

    Members visit bluecrossma.org/plan-comparison for:

    • Benefit summaries
    • Plan changes

    Federal Employee Program

    Members visit fepblue.org for:

    • Benefit plan information, including a plan comparison
    • Member wellness resources

    Medicare Options

    Members visit bluecrossma.com/medicare-options for plan information for Medicare-eligible members.