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Claims information

Payer ID numbers and addresses for submitting medical and behavioral health claims.

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New name. Same great health plan. 

On January 1, 2023, we'll continue to advance our goal of transforming the patient and provider experience by becoming Mass General Brigham Health Plan. Read our press release, and stay tuned for more details before January 1. 
 

How to use this page

To ensure accurate submission of your claims, answer these three questions:
 
  1. What plan is it? Mass General Brigham plans have instructions specific to them.
  2. What type of plan is it? Check the section on HMO Plans & PPO Plus plans for instructions specific to those plan types.
  3. What state are you located in? Your state will help determine where you should submit your claims.

 On this page:


Mass General Brigham Employee plans

Mass General Brigham employee plan members have access to the AllWays Health Partners network and the UnitedHealthcare Options PPO network outside of Massachusetts.

mass-general-brigham-health-plan-logo    
  • Medical: AllWays Health Partners network and non-contracted providers in Massachusetts
    AllWays Health Partners network providers in all states and non-contracted providers in Massachusetts should submit claims directly to AllWays Health Partners. 

    AllWays Health Partners 
    Provider Service: 855-444-4647
    Payer ID: 04293
    Paper Claims: PO Box #323 Glen Burnie, MD 21060
  • Medical: Non-contracted providers outside of Massachusetts
    Non-contracted providers outside of Massachusetts should submit claims to UnitedHealthcare Shared Services.

    UnitedHealthcare Shared Services
    Visit https://uhss.umr.com or 866-683-6441
    Payer ID: 39026, Group ID: 78800271
    Paper Claims: P.O. Box 30783, Salt Lake City, UT 84130-0783
  • Behavioral health
    All behavioral health providers should submit claims to Optum.

    Optum provider Service: 844-451-3520
    Payer ID: 87726
    Paper Claims: PO Box 30757, Salt Lake City, UT 84130-0757
    Visit the Optum Provider Express Portal for more information and to check member eligibility. When checking eligibility for AllWays Health Partners members, remember to search by name and date of birth

HMO Plans & PPO Plus plans 

HMO plans include access to the AllWays Health Partners network. PPO Plus Plans include access to the UnitedHealthcare Options PPO network.

    
  • Medical

    HMO plans:

    Providers contracted with AllWays Health Partners and non-contracted providers in Massachusetts, New Hampshire, and Rhode Island:
    AllWays Health Partners
    Provider Service: 855-444-4647
    Payer ID: 04293
    Paper Claims: PO Box #323 Glen Burnie, MD 21060
     
    Urgent and emergency care outside of Massachusetts, New Hampshire, and Rhode Island:
    UnitedHealthcare Shared Services
    Visit https://uhss.umr.com or 866-683-6441
    Payer ID: 39026, Group ID: 78800215
    Paper Claims: P.O. Box 30783, Salt Lake City, UT 84130-0783
     

    PPO Plus plans:

    Providers in Massachusetts and New Hampshire:
    AllWays Health Partners
    ​Provider Service: 855-444-4647
    Payer ID: 04293
    Paper Claims: PO Box #323 Glen Burnie, MD 21060
     
    Providers outside of Massachusetts and New Hampshire:
    UnitedHealthcare Shared Services
    Visit https://uhss.umr.com or 866-683-6441
    Payer ID: 39026, Group ID: 78800215
    Paper Claims: P.O. Box 30783, Salt Lake City, UT 84130-0783
  • Behavioral health
    Submit behavioral health claims to Optum.

    Provider Service: 844-451-3518
    Payer ID: 87726
    Paper Claims: PO Box 30757, Salt Lake City, UT 84130-0757
    Visit the Optum Provider Express Portal for more information and to check member eligibility. When checking eligibility for AllWays Health Partners members, remember to search by name and date of birth

My Care Family plans

My Care Family offers complete care and coverage through MassHealth by Greater Lawrence Family Health Center, Lawrence General Hospital, and AllWays Health Partners.


  • Medical
    AllWays Health Partners billing information:
    AllWays Health Partners Provider Service: 855-444-4647
    Payer ID: 04293
    Paper Claims: PO Box #323 Glen Burnie, MD 21060
  • Behavioral health
    Submit behavioral health claims to Optum.

    Provider Service: 844-451-3518
    Payer ID: 87726
    Paper Claims: P.O. Box 30760, Salt Lake City, UT 84130-0760

    Visit the Optum Provider Express Portal for more information and to check member eligibility.

Medicare Balance plans

Medicare Balance provides secondary coverage to Medicare — all members are required to have both Medicare Parts A and B. Medicare Balance does not have a provider network, so members may choose to see any doctor, anywhere in the nation, who accepts Medicare. Medicare Balance members don't need a referral to see a specialist.


Claims information

For billing purposes, Medicare should be listed as the member's primary coverage and Medicare Balance as their secondary coverage. Also, Medicare Balance pays the entire balance on member deductibles and coinsurance costs for services charged at the Medicare-allowed amount. So, you don't have to collect any out-of-pocket fees from your patients.
 


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Additional claims resources

Here you'll find additional resources and forms related to the AllWays Health Partners claims processes.
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You can check claims and eligibility 24/7 on our secure provider portal. 

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