Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
appeals grievances
Massachusetts provider administrative claim appeals and provider appeals
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Phone
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Published hours
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Product, plan and location
medicaid · exchange Massachusetts
Mailing addressWellSense Health Plan
Attn: Provider Administrative Claims Appeals
PO Box 55282
Boston, MA 02205
Massachusetts claim appeals.
Submit via the HealthTrio Connect provider portal or mail the Claim Review Form with narrative and documentation. Administrative claim appeals use "Attn: Provider Administrative Claims Appeals"; other provider appeals use "Attn: Provider Appeals" at the same P.O. Box. Call the Provider Service Center (888-566-0008) for status.
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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
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Denial notice, remittance and reason codes
Previous appeal confirmation and decision
Supporting evidence and any required authorization to represent the member
Questions to resolve
Is this a claim correction, provider dispute or member appeal?
What deadline and submission channel apply to this case?
How can the office confirm receipt and track the decision?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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