Routing destination
Blue Cross and Blue Shield of Massachusetts
The first three characters on the member’s current ID card identify this BlueCard home plan. Use the terminal trading partner below for the published electronic routes.
Enhanced claim statusEDI 276/277, Availity ECS, or portal automation
Available
EligibilityEDI 270/271
Available
Appeals agentAI appeals workflow
Not published
Phone and fax contacts
Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.
Phone lines8
- (800) 200-4255Blue Cross Blue Shield of Massachusetts phone treeMember service center for Blue Cross Blue Shield of Massachusetts: provider calls, premium payment by phone, and ID card orders.Answered by: Automated phone menu → Live person
- (800) 327-6716Blue Cross Blue Shield of Massachusetts Health and Medical ManagementBlue Cross Blue Shield of Massachusetts health and medical management line for provider authorization and referral calls, staff extensions and members.Answered by: Automated phone menu
- (800) 424-0794Blue Cross Blue Shield of Massachusetts phone treeBlue Cross Blue Shield of Massachusetts member service line. Members press 2 for claims, policy, address, ID card and document requests; open enrollment callers press 3 and are transferred.Answered by: Automated phone menu
- (800) 443-6657Blue Cross Blue Shield of Massachusetts Provider Service CenterBlue Cross Blue Shield of Massachusetts provider service line with the InfoDial automated system for eligibility, authorization and referral information, claim submission and claim status.Answered by: Automated phone menu
- (800) 771-4097Blue Cross Blue Shield of Massachusetts provider centralBlue Cross Blue Shield of Massachusetts provider central and EDI line, closed when called; the recording points callers to the claim status system, the provider website, and business hours.Answered by: Recorded message
- (800) 859-4417Blue Cross Blue Shield of Massachusetts Member Service CenterMember service center for Blue Cross Blue Shield of Massachusetts, with self-service for claim status, policy members, address changes, ID cards and documents, plus open enrollment help.Answered by: Automated phone menu
- (800) 882-1178Blue Cross Blue Shield of Massachusetts dental provider serviceBlue Cross Blue Shield of Massachusetts dental provider service line: members with dental benefits press 9, and other callers press pound or stay on the line.Answered by: Automated phone menu
- (800) 882-2060BCBS of Massachusetts provider service centerProvider service center line that plays a closed-office message with business hours and no menu.Answered by: Recorded message
Phone numbers14
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(203) 250-2601 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 335-8289 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 676-2583 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 238-2227 | Other stated context, Prior authorizationBenefit context: Co-Payment; Benefit context: Co-Insurance |
| Hospital, Hospital - Inpatient, Urgent Care |
| phone(800) 888-9255 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(800) 892-1893 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(855) 343-4851 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(800) 664-2583 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(877) 342-5258 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient |
| phone(800) 214-4844 |
| ||
| phone(800) 327-6716 |
| ||
| phone(800) 727-2227 |
|
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.
Fax numbers1
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| fax(888) 282-1321 |
|
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.
Retired numbers4
These numbers played a not-in-service recording when called. Do not use them; call the replacement or the number on the member’s ID card.
- (800) 397-7337Not in service when called; re-check pending
- (800) 922-6621Not in service when called; re-check pending
- (844) 805-9802Out of service
- (855) 243-3326Not in service when called; re-check pending
Member ID guidance
Read the prefix from the current card.
Do not infer a prefix from another member or an older card. Federal Employee Program IDs beginning with a single “R” follow a separate route.
Masked formats use L for a letter, N for a number, and ? for an unknown character. No member IDs are published.
Evidence
Source and verification
- Prefix, home plan, and state
- Substrate BlueCard mapping snapshot. Data last changed ; checked . Check the current prefix with BCBS ↗
- Terminal payer and payer ID
- Linked to the directory’s terminal payer record, checked . Open the payer routing sources →
- Availability signals
- Substrate’s reviewed route configuration and claim-status network, checked .
Use the member’s current ID card and confirm the current payer or clearinghouse route before submission. Prefix associations and transaction support can change.