Tufts Health Plan
CommercialAlso covers: THP, Point32Health, Tufts Medicare Preferred
Payer ID
04298
Used for professional, institutional, secondary, and ERA; legacy Stride Medicare ID 04245 is being phased out. Match to the member's product.
Timely Filing Limit (TFL)
90 calendar days for Tufts Health Public Plans; commercial line varies — verify in the commercial provider manual
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
Clearinghouses and direct EDI
Provider Services
888-257-1985
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://tuftshealthplan.com/provider/home
Massachusetts plan now under Point32Health (Tufts + Harvard Pilgrim merger). Multiple product lines with different rules — match the member's product.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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