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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
    or MSKInterqual@bcbsma.com (for musculoskeletal requests)

    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 Living, Inc.
    Chiropractic Authorizations

    WholeHealth Living's Support Line
    1-866-656-6071

    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
    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.

    NICU level of care authorizations

    (upon admission, concurrent reviews, and transfers between facilities for premature and medically complex infants)

    ProgenyHealth
    Phone: 1-866-745-1783
    Secure fax: 1-866-303-5749

  • Benefits, eligibility, & claims

    Medical providers

    On these Fridays, we’re open only for benefits and eligibility requests:
    July 26, August 30, September 13, October 11, November 8, and December 13, 2024

    Provider Services normal hours:

    Mon, Tues, Wed, Fri: 8:30 a.m. - 4:30 p.m.
    Thurs: 9:30 a.m. - 4:30 p.m.
    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 benefits and eligibility

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

  • Technology

    InfoDial

     User guide
    1-800-443-6657
    Normal hours:
    Mon - Fri: 6:30 a.m. - 9:30 p.m.
    Sat - Sun: 7 a.m. - 4 p.m.

    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: 8 a.m. - 4 p.m.
    Fri: 8 a.m. - 1 p.m.

  • 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

  • Pharmacy

    When we close for a holiday, your call will be routed to CVS Caremark. They will respond to voicemails even if they are closed.

    Commercial plans and Medicare Advantage

    Pharmacy Operations
    1-800-366-7778

    Federal Employee Program

    CVS/Caremark
    1-877-727-3784

  • 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.