You may accept to book your affirmation back you accept a covered account from a non-preferred provider in Massachusetts or a non-preferred provider alfresco of Massachusetts who does not accept a acquittal acceding with the bounded Blue Cross Blue Shield Plan. Claims for out-of-network casework should be filed, forth with a Blue Cross Blue Shield affirmation form, accessible online from Human Resources, aural two years of the date accuse for the account were incurred, to:
BCBSMAP.O. Box 986030Boston, MA 02298
Note: Back you accept covered casework alfresco the United States, you charge book your affirmation to the Blue Card Worldwide Account Center. (The Blue Card Worldwide International Affirmation Anatomy you accept from Blue Cross Blue Shield will accommodate the abode to mail your claim.) The account centermost will adapt your claim, including the about-face to U.S. bill and advanced it to Blue Cross Blue Shield for claim to you.
Utilization Analysis Requirements
Utilization Analysis is an important affection of the out-of-network allocation of the BCBS PPO. It helps to ensure that you accept the adapted medical affliction in the best cost-efficient setting—whether it be the hospital, a specialty facility, or your own home. Appliance Analysis includes:
Be abiding to chase appliance analysis provisions. If you do not chase these provisions, plan allowances will be reduced. The BCBS PPO allowances are automatically accountable to appliance analysis after any accomplish on your part.
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