Claim status check
Here are some options for both local and out-of-state BCBS Members:
- Use ConnectCenter
- Get a Direct Connection for ANSI 276/277 transactions
- Use Payspan for details on processed claims
Quick Tip: Checking Claim Status
Video: Checking claim status (2 min)
Claim filing timelines (timely filing requirements)
For HMO and PPO plans: Within 90 days of the date of service
For Indemnity plans: One year from the date of service
Video: Timely Filing Guidelines (4 min)
Claim appeals
Request for Claim Review Form and Reference Guide (masscollaborative.org)
Claim void/retraction requests
If you want to make request a full void/retraction request, you can submit a replacement claim with frequency code 8.
Replacement Claim Requirement: Frequently Asked Questions
Claim Resubmission Guide (Frequency Codes 7 & 8)
How long it takes for a claim to process
We process most claims within 30 days of their receipt. However, in some cases, we may need additional information to process your claim. If you don’t receive final payment and claim disposition in a timely manner (within 30-45 days of our receipt of your claim), please use an electronic technology to check your claim’s status.
When we are secondary to Medicare
We have electronic claim crossover arrangements with select Medicare Administrative Contractors. When we are secondary to Medicare, you can eliminate the submission of duplicate claims by first checking claim status after you have received the Medicare Part A/Part B explanation of benefits (EOB). Please allow up to a week after you receive the Medicare EOB to confirm we have the claim.
