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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.
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.
Filing claims
You can submit electronic claims using a clearinghouse.
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.