Mass General Brigham Health Plan

Mass General Brigham Health Plan (formerly AllWays Health Partners) provider service. Do not send PHI through the website contact form.

For urgent prior authorization requests outside regular business hours (weekends, holidays), call and follow the prompts. Routine requests go through the provider portal; non-contracted providers use the online authorization request form.

Technical support for the Mass General Brigham Health Plan provider portal.

Contracted providers and non-contracted providers in Massachusetts (and NH/RI for some plans) bill the plan directly; payer ID 04293. Non-contracted providers outside the service area bill UnitedHealthcare Shared Services (payer ID 39026). Applies to commercial, ACO (MassHealth), Medicare Advantage, SCO and One Care per the page.

For non-contracted providers outside Massachusetts (and outside MA/NH/RI or MA/NH depending on plan). Payer ID 39026; group IDs 78800271 or 78800215 depending on the plan (see page). Website uhss.umr.com.

Optum Behavioral Health manages behavioral health authorizations and claims for Mass General Brigham employee plans. Claims: payer ID 87726, P.O. Box 30757, Salt Lake City, UT 84130-0757 (per claims page).

Optum Behavioral Health provider service for all other Mass General Brigham Health Plan commercial plans; Provider Express portal for authorizations.

Optum provider service for Mass General Brigham ACO (MassHealth) behavioral health claims. Paper claims P.O. Box 30760, Salt Lake City, UT 84130-0760; payer ID 87726.

Optum provider service for behavioral health claims on Medicare Advantage, Medicare Balance, SCO and One Care plans. Payer ID 87726; paper claims P.O. Box 30757, Salt Lake City, UT 84130-0757.

Medical specialty drugs requiring prior authorization are reviewed by Prime Therapeutics; online at GatewayPA.com (fastest) or fax a Standard Prior Authorization form.

Optum Rx manages pharmacy benefits for Mass General Brigham Health Plan members with prescription drug coverage.

CareCentrix manages sleep management prior authorizations for the plan; submit via the CareCentrix portal.

EviCore manages molecular and genetic testing authorizations; submit via the eviCore provider portal.

Refer a patient to plan care management programs via provider services or email.