Interested in joining Blue Cross Blue Shield of Massachusetts’ networks?
We offer HMO, PPO, Indemnity, and Medicare Advantage networks for medical providers.
To serve Blue Cross Blue Shield members, you must be contracted with the local Blue Cross Plan where your practice is located. Blue Cross Blue Shield of Massachusetts may contract with providers in certain contiguous counties that border Massachusetts to service local Massachusetts members.
For more information about the plans and products we offer, please see the Plans & Products section of our website.
| HMO | PPO or PPA | Indemnity | Medicare Advantage |
|---|---|---|---|
| Managed care network | Members can see in- or out-of-network providers for their care | Members can see any participating provider for their care; no referral is required |
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Documents (including signed contracts) that were mailed to P. O. Box 55350 can now be emailed to Provider-Enrollment@bcbsma.com. When you use email, you’ll receive an automated confirmation from us.
Documents with fax instructions should continue to be faxed.
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Step |
Start the contracting application and credentials verification processes. Here's how:
The contracting application and credentialing verifying processes take place at the same time. |
Step  |
Get a contract. Read, sign, and return one copy. You'll keep one copy for your records. |
Step  |
Get your credentialing decision and welcome letter.
Your welcome letter tells you:
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Step  |
Prepare to work with us electronically.
We communicate contractual news, updates, and plan policies and procedures electronically. We also require providers to use our electronic technologies to answer questions before calling us. Please take these steps to work with us electronically:
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Self-service tools
Technology overview. Learn more about the eTools we offer. Many of them are available at no additional cost to you.
Through our Provider Central website, we offer participating providers a variety of electronic self-service tools that automate your business processes and give you information you need 24/7. This includes:
- Eligibility and benefits verification
- Electronic claim submission options: Direct connection; Online Services, an option available at no cost to you through this website (requires log in); existing set-ups with multiple clearinghouses.
- Direct deposit and online payments and remittances. We require providers to get paid by direct deposit using Payspan. Once registered for Payspan, you also get online Provider Payment and Provider Detail Advisories.
Learn more about what our website offers
Access to nearly three million members
Our members learn about you when they use our online and printed Find a Doctor & Estimate Costs directories to get information about you, such as your address, phone number, and quality and cost information. It's important that you keep this information up-to-date and notify us of any changes.
We’re here to support you in delivering high-quality health care to your patients.
As a participating provider, you should register for our website to:
- Get your contractual notifications and other important news and updates
- Access our self-service technologies that allow you to do business with us 24/7
- Learn about plan procedures and policies
Please email ProviderApplicationStatus@bcbsma.com with your inquiries regarding credentialing and provider enrollment.
If you need to call us, you can find our phone numbers here.
