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Tufts Health Plan

Primary payer ID
TUFTSCompare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Currently not answeringEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from Tufts Health Plan? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Tufts Health Plan

Substrate can help practices and billers with the following claims tasks for Tufts Health Plan.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Tufts Health Plan.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Tufts Health Plan.

Available

Frequently asked questions

Tufts Health Plan payer FAQs

How do I check claim status with Tufts Health Plan?

Providers check Tufts Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Tufts Health Plan?

The primary payer ID for Tufts Health Plan is TUFTS. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for Tufts Health Plan?

The 837P and 837I payer ID for Tufts Health Plan is TUFTS via Stedi.

What is the 835 payer ID for Tufts Health Plan?

The 835 payer ID for Tufts Health Plan is TUFTS via Stedi.

What is the 270 payer ID for Tufts Health Plan?

The 270 payer IDs for Tufts Health Plan are TUFTS via Stedi and 04298 and TUFTS via Availity.

What is the 276 payer ID for Tufts Health Plan?

The 276 payer ID for Tufts Health Plan is TUFTS via Stedi.

What states does Tufts Health Plan operate in?

Tufts Health Plan operates in MA, ME, NH, RI, and VT.

Resource library

Routing reference

Tufts Health Plan payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Tufts Health Plan payer name, operating states, and transaction-specific payer IDs
Payer nameTufts Health Plan
Operating statesMA, ME, NH, RI, VT
837P professional claims payer IDStediTUFTSEnrollment required
837I institutional claims payer IDStediTUFTSEnrollment required
835 ERA payer IDStediTUFTSEnrollment required
270 eligibility payer IDStediTUFTS
270 eligibility payer IDAvaility04298TUFTS
276 claim status payer IDStediTUFTS

Payer contact directory

Tufts Health Plan phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Payer phone
(800) 279-9022Tufts Health Plan
Tufts Health Plan payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(617) 436-3500Other stated contextBenefit context: Primary Care Provider
  • HARVARD PILGRIM HEALTH CARE
  • NEW ENGLAND IRON WORKERS HEALTH AND WELFARE FUND
phone(800) 279-9022
  • Tufts Health Plan
phone(800) 708-4414
  • HARVARD PILGRIM HEALTH CARE
phone(855) 393-3154
  • Tufts Health Plan
phone(888) 257-1985
  • Tufts Health Plan
phone(888) 884-2404
  • Tufts Health Plan

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 00114
  • 04298
  • 04298MA
  • 10379
  • 170558746
  • 2438
  • 8504
  • TUFTS
  • Point32Health
  • TUFTS HEALTH PLAN (A POINT32HEALTH COMPANY)