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Visiting the website
The is an independent company that administers pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts.
By selecting "Continue," you acknowledge that you have read and understood the statement below, and you wish to visit the Pharmacy Benefit Manager website. By selecting "Close Window," you will return to Provider Central.
Your use of the selected site is subject to the Terms of Use and Privacy Policies of the publisher of that site. Blue Cross Blue Shield of Massachusetts’ Terms of Use and its Privacy Policy do not apply at the selected site. Use of any such site, including the information, services, products, materials, and any other resources contained on it, is conducted solely at your own risk.
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:
WholeHealth Living, Inc.
Chiropractic Authorizations
WholeHealth Living's Support Line
1-866-656-6071
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.
ProgenyHealth
Phone:
1-866-745-1783
Secure fax:
1-866-303-5749
On these Fridays, we’re open only for benefits and eligibility requests:
March 8, March 29, April 12, and April 26, 2024
Provider Services
1-800-882-2060 (Physicians)
1-800-451-8123 (Hospitals)
1-800-451-8124 (Ancillary Providers)
When we close for a holiday, your call will be routed to CVS Caremark. They will respond to voicemails even if they are closed.
CVS/Caremark
1-877-727-3784
providercentral@bcbsma.com
1-800-771-4097, Option 2
Normal hours:
Mon - Thurs: | 8am - 4pm |
Fri: | 8am - 1pm |
Check your network application status:
ProviderApplicationStatus@bcbsma.com
Other contracting questions:
Network Management and Credentialing Services
1-800-316-BLUE (2583)
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.
Members visit bluecrossma.org for:
Members visit blue365deals.com for health and wellness deals.
Members visit bluecrossma.org/plan-comparison for:
Members visit fepblue.org for:
Members visit bluecrossma.com/medicare-options for plan information for Medicare-eligible members.