- This page, Division of Insurance Information Sessions on Carrier Provider Relations Systems, is offered by
- Division of Insurance
Division of Insurance Information Sessions on Carrier Provider Relations Systems
Overview
Rain date:
Daytime and evening sessions have been scheduled.
During a series of information sessions held by the Division of Insurance in January and February 2026, certain providers raised concerns about reaching carriers’ provider relations departments or using carriers’ tools to get questions answered about administrative processes, resulting in extended hold times and inability to deliver patient care.
The Division contacted insurance carriers and obtained information from the carriers about the ways that providers can contact carriers for questions. It is the Division’s intention to hold a series of virtual public meetings held on the following dates to discuss the available communication channels and any concerns about why these channels may not satisfactorily meet provider needs.
Tuesday, May 19 from 1-2 and 6-7 Carriers discuss available provider relations options
Tuesday, June 2 from 1-2 and 6-7 Providers react to issues with existing options
Tuesday, June 16 from 1-2 and 6-7 Consider options to improve use of processes
Those who cannot access the Teams link can call 857-327-9245, with Meeting ID of 952 369 542#
You will need
| Health Plan | Provider Relations Department Contact Information |
|---|---|
| Aetna | Provider Contact Center (Claims inquiries and questions; member eligibility and benefits; patient management; prior authorization): 1-800-624-0756 (TTY: 711) for Aetna Medicare Advantage plans and HMO-based plans 1-888-MDAetna (1-888-632-3862) (TTY: 711) for all other plans |
| Blue Cross and Blue Shield of Massachusetts | Provider Service: 1-800-882-2060 Dental Provider Service: 1-800-882-1178 |
| Cigna | Provider Services (for all inquiries): 800-88-CIGNA (800-882-4462) PSUInquiryNon-Claim@cigna.com (for items that require additional research, ancillary or facility requests) |
| Fallon Health | Provider Relations: 1-866-275-3247 (Press #1: Customer Service/Member eligibility/benefit information Press #2: Claims Press #3: Referrals, medical prior authorizations, case management Press #4: Provider Services Press #5: Pharmacy Services Press #6: Electronic Data Interchange (EDI), Provider Tools and ProAuth Support) |
| Health New England | Provider Relations: Phone: (413) 787-4000 | (800) 842-4464 Ext. 5000 Website: healthnewengland.org/provider-contact Email: ProviderRelations@hne.com |
| Mass General Brigham Health Plan | Provider Services: 855-444-4647 HealthPlanProvidersService@mgb.org |
| Point32Health | Harvard Pilgrim Provider Service Center: 800-708-4414 Tufts Health Plan Provider Services Commercial: 888-884-2404 MassHealth & related products: 888-257-1985 Senior products: 800-279-9022 |
| UnitedHealthcare | Provider Services: 877-842-3210 24/7 live chat: UHCprovider.com |
| Wellpoint | Provider Relations: 800-480-7587 WellpointProviderRelations@wellpoint.com |
| WellSense Health Plan | Provider Relations: 888-566-0008 provider.info@wellsense.org For BH providers specifically: BHProviders@wellsense.org |