For Providers
Claim Submission Changes
How to Submit Claims
Providers are to submit claims electronically or by mail.
1. Electronically:
HealthTeam Advantage Electronic Payer ID #: 88250
2. Mail:
Claims Mailing Address:
HealthTeam Advantage
P.O. Box 1264
Westborough, MA 01581
How to Check Claim Status:
Provider Portal
Phone: 844-806-8217 (Option 2)
Email: [email protected]
Timely Filing Limits:
Initial Claims: 180 calendar days from the date of service to submit
Secondary Payer: 180 days from the date of the primary payers’ Explanation of Benefit (EOB) decision to file
Corrected Claims: 180 calendar days from the original date of service to correct
Disputes: 120 days from the date of the explanation of payment to dispute.
How to Submit a Claim Dispute:
Send dispute letter to include the following:
Member Name
ID Number
Claim Number
Detailed explanation of the dispute and supporting documentation
Dispute Mailing Address:
HealthTeam Advantage
Attn: Claims Dispute
P.O. Box 1264
Westborough, MA 01581
Faxed Requests are Not Accepted
