Claims Processing

Blue Cross Blue Shield of Massachusetts is responsible for processing your claims and answering any questions you may have on an outstanding claim or on how a claim has been paid.

Blue Cross Blue Shield providers will bill Blue Cross Blue Shield directly. The billing information is on the back of your health insurance ID card. However, should you receive a bill or need to be reimbursed for services, please send your bill (and proof of payment if seeking reimbursement) to the claims administrator. You do not need an additional claim form. Make sure your name, health insurance ID number, and school name are on the bill, and make a copy for your records before sending to the claims administrator at Blue Cross Blue Shield, P.O. Box 986020, Boston, MA 02298.

If the treatment you received was a result of an accident, you will receive a letter from Blue Cross Blue Shield asking you for information about the accident, e.g, was it the result of a car accident, from playing sports, etc. Your claim cannot be processed without this information, so respond to the letter promptly. You may also receive a letter asking if you are covered by any other health insurance plan. It is important to respond promptly to this as well. If you do have additional health insurance, Gallagher Student will coordinate the payment of claims with your other insurance company.

Blue Cross Blue Shield will reimburse members directly for covered services rendered by providers who do not participate in certain Blue Cross Blue Shield products and services. It will be the responsibility of the student to reimburse the non-participating provider. The payment to the student will reflect the provider's billed charge, less any applicable copayments, co-insurance, or deductibles.

To check on the status of a claim, go to BCBS Member Central and log in to look up a specific claim or view a list of all claims submitted.