Tufts Health Plan Corrected Claim Address

Refer to the request for claim review mailing information document for the correct mailing address to submit disputes to tufts health plan.

Tufts health plan corrected claim address. Tufts health plan commercial including tufts health freedom plan 1. Providers should contact cigna at 800 cigna24 800 244 6224 or use cigna s. Refer to the request for claim review mailing information document for the correct mailing address to submit disputes to tufts health plan. Benefit authorization and policy inquires when tufts health plan is identified as primary administrator on member id card phone.

800 232 1164 dc35 union fund office. The plan offers members and employers an array of health management programs which support evidence based approaches to health and wellness. You can also submit a written appeal to the address listed above. A nonprofit organization founded in 1979 tufts health plan is nationally recognized for its commitment to providing innovative high quality health care coverage.

Tufts health plan requires the request for claim review form v1 1 for provider payment disputes. If cigna is the primary administrator and tufts health plan receives carelink claims electronically they will not be assigned a tufts health plan claim number. You can submit a verbal appeal of a benefit coverage decision to a tufts health plan member specialist who will forward it to the appeals and grievances department. Corrected claims and provider payment disputes of duplicate claim denials must be received no later.

The following table lists the correct mailing address to submit a request for claim review form to tufts health plan by product. Different way of submitting corrected claim corrected claims tufts health plan accepts both electronic and paper corrected claims in accordance with guidelines of the national uniform claim committee nucc the medicare managed care manual and hipaa edi standards for tufts medicare preferred hmo claims. This form can be found in the forms section of the provider resource center and on the hcas website. Tufts health plan requires the request for claim review form v1 1 for commercial provider payment.

Tufts health plan works with vendors to review certain claims and authorizations our vendors a nonprofit organization founded in 1979 tufts health plan is nationally recognized for its commitment to providing innovative high quality health care coverage.