WHAT FORM(S) SHOULD I DO? • Blue Cross Blue Shield of Massachusetts Enrollment Form WHERE SHOULD I SEND THE FORM(S)? • Email the form to [email protected] o Subject should contain: BCBS MA Enrollment WHAT IS THE TURNAROUND TIME FOR ENROLLMENT? • Standard processing time for EDI enrollment is 2-3 business days. • The time it takes ERAs to start coming through is dependent upon the payer. Generally, ERA’s can take anywhere from 10 to 45 days to begin coming through. HOW DO I CHECK STATUS? • Once your enrollment has been processed you will receive an email from Office Ally indicating that you can begin submitting claims electronically. BLUE CROSS BLUE SHIELD OF MASSACHUSETTS (BS059) PRE-ENROLLMENT INSTRUCTIONS Office Ally | P.O. Box 872020 | Vancouver, WA 98687 www.officeally.com Phone: 360-975-7000 Fax: 360-896-2151
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WHAT FORM(S) SHOULD I DO?
• Blue Cross Blue Shield of Massachusetts Enrollment Form
WHERE SHOULD I SEND THE FORM(S)?
• Email the form to [email protected]
o Subject should contain: BCBS MA Enrollment
WHAT IS THE TURNAROUND TIME FOR ENROLLMENT?
• Standard processing time for EDI enrollment is 2-3 business days.
• The time it takes ERAs to start coming through is dependent upon the payer. Generally, ERA’s can take anywhere from 10 to 45 days to begin coming through.
HOW DO I CHECK STATUS?
• Once your enrollment has been processed you will receive an email from Office Ally indicating that you can begin submitting claims electronically.
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS (BS059) PRE-ENROLLMENT INSTRUCTIONS
Of f ice Al ly | P.O. Box 872020 | Van cou ver , WA 98687
www.off i ceal ly .com
Phone: 360-975-7000 Fax: 360-896-2151
In order to enroll to submit claims electronically and/or receive ERAs electronically from this payer, please fill out this form and return it via email to [email protected] , the Email Subject should read: BCBS MA Enrollment.
Provider Name:
Provider Address:
PROVIDER IDENTIFIERS INFORMATION:
Provider Federal Tax Identification Number (TIN) OR Employer Identification Number (EIN):
National Provider Identifier (NPI):
PROVIDER CONTACT INFORMATION:
Provider Contact Name:
Telephone Number:
Email Address:
SUBMISSION INFORMATION:
Reason for Submission:
Authorized Signature:
Note: Electronic Signature (typed name) of Person Submitting Enrollment.
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS ENROLLMENT FORM
Off ice Al ly | P.O. Box 872020 | Van cou ver , WA 98687 www.off i ceal ly .com
Phone: 360-975-7000 Fax: 360-896-2151
ELECTRONIC REMITTANCE ADVICE INFORMATION (if enrolling for ERA):
Preference for Aggregation of Remittance Data:
Note: Per BCBS MA, NPI is always used.
PROVIDER INFORMATION:
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