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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 and dental 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

  • Call Customer Service at the number on the back of the member’s ID card.
  • Go to www.bluebenefitma.com and select "Providers".

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. 

  • Use payor ID 03036 to submit claims electronically.
  • Call your clearinghouse for help submitting claims.

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

Resources

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

Provider manual for Blue Benefit Administrators of Massachusetts