This article is intended for all hospitals and physicians. This is for claims that are not required to go through the replacement claims process.
When you’re using the Request for Claim Review form to appeal a denied claim, please include the Blue Cross Blue Shield of Massachusetts denial code in the required field indicated below. This will help us quickly route your request, based on the type of denial you received.
We recommend using PaySpan, our electronic payment vendor, as the best way to view your Provider Detail Advisory. Both Blue Cross and HIPAA message codes can be found beneath the Grand Totals line.
Sample Provider Detail Advisory showing X585
Using the Blue Cross message helps us get your appeal to the right department quickly to review the request. Using HIPAA codes will delay your request.
Blue Cross Blue Shield of Massachusetts
P.O. Box 986065
Boston, MA 02298