Home > Office Resources > Policies & Guidelines > Reviews & Appeals
Web Content Viewer
Web Content Viewer
Administrative Reviews and Appeals

Administrative appeals or claims reviews are conducted on claim denials.

If you’d like to:

  • Request a claim adjustment for a service previously reviewed, you must submit a written request to the address listed below.
  • Make a correction to a previously submitted 1500 or UB-04 claim, then submit a replacement claim, not an appeal.
  • Submit an appeal, send us a completed Request for Claim Review Form.
    This is due within one year of the date the claim was denied. You can submit up to two appeals for the same denied service within one year of the date the claim was denied.

Where to mail your completed documents

Medical appeals Dental appeals
Blue Cross Blue Shield of MA
Provider Appeals
PO Box 986065
Boston, MA 02298
Blue Cross Blue Shield of MA
Process Control
PO Box 986010
Boston, MA  02298

Appeals we’re currently reviewing

For We are currently processing appeals received on this date
Medicare Advantage 09/20/2023
BlueCard (outside Massachusetts) 09/11/2023
Home Infusion Therapy 06/26/2023
In-state (local), professional 1500 09/11/2023
In-state (local), facility UB-04 09/05/2023
Federal Employee Program - 1500 09/11/2023
Federal Employee Program - UB-04 09/13/2023
Timely Filing Limit 09/06/2023

  Video: Appeal Status (2 min)

Web Content Viewer

Related Content