Get Change Access Administrator Form - Tufts Health Plan

Mail initial paper claims to: Tufts Health Public Plans – Paper Claims Submissions P.O. Box 189 Canton, MA 02021-0189 Note: Claims requiring additional documentation must be submitted on paper.

It completed a merger with Harvard Pilgrim Health Care on January 1, 2021, making the then unnamed company the second-largest health insurer in Massachusetts. Tufts Health Plan - Wikipedia wikipedia.org https://en.wikipedia.org › wiki › Tufts_Health_Plan wikipedia.org https://en.wikipedia.org › wiki › Tufts_Health_Plan

Tufts Health Plan uses W.B. Mason to print paper referral forms. To order paper referral forms, fill out the W.B. Mason Provider Forms Requisition Form and fax it to W.B. Mason at 800.738. 3272, or email it to tuftshealthplan@wbmason.com.

For more information refer to the Commercial and Tufts Medicare Preferred HMO MHK Portal User Guide. Prior authorization requests can also be faxed to the Precertification Operations Department at 617-972-9409.

Call us at 888-257-1985 (TTY: 711) to update your information.

Prior authorization requests should be faxed to the Precertification Operations Department at 888-415-9055 (Tufts Health Together, Tufts Health Direct), 857-304-6304 (Tufts Health One Care) or 857-304-6404 (Tufts Health RITogether).

Providers can submit notification or submit a request for continued authorization of services by calling the BH Department at 888-884-2404 or faxing notification or request to 617-972-9424.

Prior authorization is required for certain procedures, drugs, items, and/or supplies that require medical necessity or utilization review either through Tufts Health Plan or select approved vendors. Services that require prior authorization may also require a referral to the rendering specialist.