Thank you for enrolling with Blue Cross Blue Shield of Massachusetts!
Now that you have received your welcome letter confirming your participation, be sure to complete these important tasks.
Go to our homepage and click Register.
Completing the registration process gives you access to contractual updates, eTools, your fee schedule, and more. Once you are registered, you can also have your billing agency register so they can use our site to work on your behalf. Learn how.
Need help?
Get Provider Central registration information and web tips or call our Provider Self-Service team at 1-800-771-4097.
You can check eligibility and benefits at no cost using Online Services. To learn more, log in to Provider Central and go to eTools>Online Services. No additional password is required.
Online Services Quick Start Guide
If you’ve tried using Online Services, but still need help with a member’s benefits, you can contact Provider Service.
You can check dental eligibility and benefits at no cost using Dental Connect for Providers. To learn more and to get a registration partner code, log in to Provider Central and go to eTools>Dental Connect.
Note: You’ll need to register separately for Dental Connect for Providers. Enter the partner code we provide when registering to have your monthly costs for the tool covered by us.
Here’s some information on ways you can submit claims to us. Our Claim Submission page gives additional links, plus ways to check the status of your claims.
| To submit claims this way | Here's what you need to know |
|---|---|
| Through a direct connection with Blue Cross (medical and dental providers) | If you use a system that outputs HIPAA-compliant files, then a direct connection with us may be a good option. You’ll get quick turnaround on your claims and direct-for-Blue Cross messages. To learn more, log in and go to eTools>Direct Connection. |
| Electronically using a tool we offer at no cost to you (for 1500 claims only) | We offer Direct Data Entry in Online Services through this website at no additional cost to you. Registration is required. To learn more, log in to Provider Central and go to eTools>Online Services. |
| Through a clearinghouse | Contact our EDI support team to help you get started. Email EDISupport@bcbsma.com. |
With Payspan, you get online Provider Payment and Provider Detail Advisories that outline our payments to you. For more information about Payspan, log in to Provider Central and go to eTools>Payspan.
Here are some resources to help you get started.
You’ll want to refer to these policies:
- Medical policies.
- Payment policies (information on how we pay claims for certain services).
- Blue Book and other provider manuals, which describe requirements that may apply to you. Log in to Provider Central and go to Office Resources>Policies & Guidelines>Provider Manuals.
Log in to Provider Central and go to Office Resources>Billing & Reimbursement>Fee Schedules.
We are required by law to keep our provider directories, Find a Doctor & Estimate Costs, current and up-to-date, including whether you are accepting new patients. Your updates are critical, so members have your most current information. Please review your information quarterly.
Medical providers
If you need to make changes, use the Standardized Provider Information Change form located in our Forms Library.
Dental providers
- On your office letterhead, tell us the address you are moving from and to, and the effective date of the change
- List your new appointment scheduling phone number
- Fax your new information to 617-246-9397 or e-mail your Dental Network Manager
For more information about making address changes or changes to your contract with us (for example, adding products to your Agreement), log in and go to Office Resources>Enrollment>Maintaining & Changing Status.
We recredential providers every two years. See our credentialing guidelines. If you are a professional provider, be sure to update CAQH quarterly so your information is current.
