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Blue Cross Blue Shield of Massachusetts

Part of Blue Cross Blue Shield of MA

Regional plandentalmedicalvision
Typical enrollment turnaround
60-90 days

Summary

Blue Cross Blue Shield of Massachusetts is a regional health plan, part of Blue Cross Blue Shield of MA, offering dental, medical, and vision coverage operating in Massachusetts. Claims route under payer ID 700, with 11 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through BCBS MA Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID
700Also seen as 00139, 00200, 10037, 12B14, 2424, BS059 and 5 more
Also known as
BCBS Massachusetts, BCBSMA, Blue Cross Blue Shield Massachusetts, Blue Cross Blue Shield of Massachusetts - Medicare Advantage
Uses CAQH
YesApplication route: CAQH application only
Service area
MA

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredA few days

Common questions

What is the payer ID for Blue Cross Blue Shield of Massachusetts?
The payer ID for Blue Cross Blue Shield of Massachusetts is 700. Alternate IDs seen across clearinghouses include 00139, 00200, 10037, 12B14.
How long does Blue Cross Blue Shield of Massachusetts provider enrollment take?
Blue Cross Blue Shield of Massachusetts provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Blue Cross Blue Shield of Massachusetts require CAQH?
Yes. Blue Cross Blue Shield of Massachusetts uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Blue Cross Blue Shield of Massachusetts require ERA enrollment?
Yes. Blue Cross Blue Shield of Massachusetts requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
What states does Blue Cross Blue Shield of Massachusetts cover?
Blue Cross Blue Shield of Massachusetts operates in MA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.