WellSense Health Plan

Claims and claim status

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

claims

Massachusetts paper claims (MassHealth and Clarity)

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · exchange
Massachusetts

Mailing address
WellSense Health Plan Attn: Claims Department PO Box 55282 Boston, MA 02205

Massachusetts paper claims (CMS-1500 / UB-04).

Electronic claims preferred via the HealthTrio provider portal, TriZetto or NEHEN; payer ID 13337. Filing limits: MassHealth (incl. ACO) 150 days; Clarity 90 days. Guide last updated 8/25/2026.

View source ↗ · Source checked 2026-10-25

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claims

New Hampshire paper claims

Official page read
Phone

No phone listed for this route

Published email

ClaimsMailroom@wellsense.org

Claims mailroom (per NH quick reference guide).

Published hours

Not published in this record

Product, plan and location

medicaid · exchange · medicare advantage
New Hampshire

Mailing address
WellSense Health Plan Claims Department PO Box 55049 Boston, MA 02205-5049

NH paper claims.

NH Medicaid, Clarity and Medicare Advantage paper claims. EDI questions: 617-748-6175 or ITOpsSupport@wellsense.org. Guide last updated 8/24/2026.

View source ↗ · Source checked 2026-10-25

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Call preparation · editorial guide

Make the call count.

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

Have ready in your secure workspace

  • Claim number, service dates and billed amount
  • Submission acknowledgement and remittance
  • Provider billing identifiers

Questions to resolve

  • Was the claim received and accepted for processing?
  • What specifically prevents payment or final processing?
  • Is a corrected claim, reconsideration or appeal the right route?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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