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Ly unless you meet these requirements. About our evaluation of this application Blue Cross* will evaluate this application according to its completeness and the organization's ability to meet preestablished credentialing criteria and network need, as determined solely by Blue Cross. We reserve the unqualified right to reject any and all applications, subject to the terms of this application and applicable law. By accepting this application for evaluation, we agree that any patient-specific or i.

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04-1045815 is the Federal Tax ID (FID) for Blue Cross Blue Shield of Massachusetts for Health Care tax filing purposes. You won't receive a Form 1095-HC if: You're under 18 years old. You have a dental and/or vision-only plan through Blue Cross.

Submit the claim to us within 90 days from the other payer's rejection date The claim was submitted to the other insurer within 90 days of the date of service or discharge.

Mailing Address (claims and correspondence): Blue Benefit Administrators of Massachusetts. PO BOX 55917. Boston, MA 02205-5917.

1-800-262-2583.

1-800-262-2583.

Get to Know Us CompanyBlue Cross and Blue Shield of Massachusetts, Inc.Headquarters101 Huntington Avenue, Suite 1300 Boston, MA 02199-7611Type of BusinessHealth Insurance Company An Independent Licensee of the Blue Cross and Blue Shield AssociationFounded19379 more rows

As a Blue Cross member, your health coverage goes with you when you travel. No matter what plan you have, you're covered for emergency care in Michigan, across the country or around the world.

Request a Payor Payor IDPayor NameCBMA1BC / BS of MassachusettsCBMA1BCBS MACBMA1MA BCBSCBMA1MA Blue Cross Blue Shield46 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232