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Blue Benefit Administrators

Blue Benefit Administrators of Massachusetts is a wholly-owned subsidiary of Blue Cross Blue Shield of Massachusetts. We use Blue Benefit Administrators as a third-party administrator of medical plans that we sell to self-funded employer groups. The employers who purchase these plans may customize member benefits to its group’s needs.

These plans offer in- and out-of-network benefits to give members the flexibility to coordinate their care. Members have access to the Blue Cross Blue Shield of Massachusetts network of providers and the National BlueCard® Network for in-network care.

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Member ID card

Blue Benefit Administrators members have a unique ID card with a non-Social Security-based number and other features specific to these plans.

Policies and procedures

How to verify member eligibility

Outpatient procedure notification
Some employers require pre-certification for designated outpatient procedures. Once you have validated that a procedure requires certification, you may fax this form to our Utilization Review Department to start the process.

Filing claims
You can submit electronic claims using a clearinghouse. Blue Benefit Administrators uses Change HealthcareTM, but you may use a clearinghouse of your choice and the claim will follow through to Blue Benefit Administrators via the payor ID number.

  • Use payor ID 03036 to submit claims electronically.
  • Call your clearinghouse or Change Healthcare at 1-800-266-2206 for help submitting claims.

Paper claims and correspondence:
Blue Benefit Administrators of Massachusetts
PO Box 55917
Boston MA 02205-5917

Contact information

Contact Blue Benefit Administrators directly for all eligibility, benefit, claim, reimbursement, or authorization inquiries.

Resources

 For the Blue Benefit Administrators provider manual, log in and go to Office Resources>Policies & Guidelines>Provider Manuals.