Blue Cross and Blue Shield of Massachusetts
Also covers / subsidiaries: BCBSMA, HMO Blue, Blue Cross MA
Core Payer & Clearinghouse Profile
Electronic Payer ID
MABC0
00200 is the widely listed clearinghouse payer ID for commercial professional/institutional. Blue Benefit Administrators of MA (a TPA) uses 03036.
Timely Filing Limit (TFL)
HMO and PPO claims within 90 days of DOS; Indemnity within 1 year
Appeal Window
Appeals via Provider Central (Office Resources > Policies & Guidelines > Reviews & Appeals)
Clearinghouse Gateway
Availity (BCBSMA's EDI clearinghouse/gateway)
Provider Services
800-327-6716
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://provider.bluecrossma.com
Submits EDI via Availity; payer ID 00200 for commercial.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Blue Cross and Blue Shield of Massachusetts.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Blue Cross and Blue Shield of Massachusetts.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Bcbs Of Massachusetts | 10037 | Non-Par | None | 276/277 |
| Blue Cross Blue Shield Of Massachusetts | CBMA1 | Non-Par | Required | 835 ERADental |
| Blue Cross Blue Shield Of Massachusetts | MABC0 | Non-Par | None | 837P837I835 ERA |
Resolution Tools for Blue Cross and Blue Shield of Massachusetts Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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