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INSURER FILING GUIDE

Blue Cross Blue Shield of Massachusetts

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

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AT A GLANCE

Claim facts

Member form

Subscriber Claim Form

Number: Not published by the insurer

Revision: Not published by the insurer

Open the insurer form
Portal uploadNO
Portal pathNo upload path: Subscriber Claim Form directs the signed form and original itemized bill through an offline route
Mail addressBCBSMA, P.O. Box 986030, Boston, MA 02298
FaxNot published by the insurer
AttachmentsProvider letterhead with provider name, address, NPI or license number, and credentials; patient name; dates of service; itemized charge for each date and service type; procedure codes using HCPCS or revenue codes; diagnosis codes; units for named therapy and other services
DeadlineNot published by the insurer
Outcome and statusMember Central / MyBlue processed-claims view
Processing timeUp to 30 days
CaveatsOriginal itemized bill is required by the form; HMO or EPO ordinary out-of-network benefits may be absent; self-funded terms may differ; Medicare and Medicaid excluded

STEP BY STEP

Filing steps

Source: https://www.bluecrossma.org/sites/g/files/csphws1571/files/acquiadam-assets/00-000_Subscriber_Claim_Form.pdf

Read date: 10-09-2026

Research steps

  1. Download the Subscriber Claim Form and complete a separate form for each patient. https://www.bluecrossma.org/sites/g/files/csphws1571/files/acquiadam-assets/00-000_Subscriber_Claim_Form.pdf
  2. Sign and date the form and attach the original itemized bill. The bill must carry provider name, address, NPI or license number, credentials, patient name, service dates, itemized charges by date and service type, HCPCS or revenue codes, diagnosis codes, and units for the services the form names. https://www.bluecrossma.org/sites/g/files/csphws1571/files/acquiadam-assets/00-000_Subscriber_Claim_Form.pdf
  3. NOT PUBLISHED: a member portal or app upload path. The form publishes only an offline route, so portal_upload is NO. https://www.bluecrossma.org/sites/g/files/csphws1571/files/acquiadam-assets/00-000_Subscriber_Claim_Form.pdf
  4. Allow up to 30 days and view the processed claim in Member Central / MyBlue. https://www.bluecrossma.org/sites/g/files/csphws1571/files/acquiadam-assets/00-000_Subscriber_Claim_Form.pdf
  5. NOT PUBLISHED: the claim filing deadline, CMS-1500 treatment, electronic-signature acceptance, payment direction when benefits are not assigned, and upload constraints. https://www.bluecrossma.org/sites/g/files/csphws1571/files/acquiadam-assets/00-000_Subscriber_Claim_Form.pdf

Filing facts

  • Portal upload: NO
  • Portal: MyBlue / Member Central
  • Portal path: No upload path: Subscriber Claim Form directs the signed form and original itemized bill through an offline route
  • Mail address: BCBSMA, P.O. Box 986030, Boston, MA 02298
  • Fax: NOT PUBLISHED
  • Attach: Provider letterhead with provider name, address, NPI or license number, and credentials; patient name; dates of service; itemized charge for each date and service type; procedure codes using HCPCS or revenue codes; diagnosis codes; units for named therapy and other services
  • File types: NOT APPLICABLE
  • File size limit: NOT APPLICABLE
  • Maximum files: NOT APPLICABLE
  • One file or separate files: NOT APPLICABLE
  • Confirmation: Processed claim appears in Member Central / MyBlue
  • Status check: Member Central / MyBlue processed-claims view
  • Processing time: Up to 30 days
  • Member deadline: NOT PUBLISHED
  • Deadline basis: YES: group and self-funded documents control
  • Mental health route: No distinct psychotherapy filing route is published on the reviewed form

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.

Read on 10-09-2026 from https://www.bluecrossma.org/sites/g/files/csphws1571/files/acquiadam-assets/00-000_Subscriber_Claim_Form.pdf. Confirm the address, fax number or portal path on the insurer's own claims page before you send.