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.
Blue Benefit Administrators members have a unique ID card with a non-Social Security-based number and other features specific to these plans.
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.
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.
Paper claims and correspondence:
Blue Benefit Administrators of Massachusetts
PO Box 55917
Boston MA 02205-5917
Contact Blue Benefit Administrators directly for all eligibility, benefit, claim, reimbursement, or authorization inquiries.
log in and go to Office Resources>Policies & Guidelines>Provider Manuals.For the Blue Benefit Administrators provider manual,