Member Resources
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Welcome Members!
Welcome to the members section of the Blue Benefit Administrators of Massachusetts (BBA) website. Here you can find commonly requested forms, access to your claim history, provider network listings, and other useful information.
Select the "Sign In" button located on the right hand side of this page. Once you have entered your employer's name, select the product you wish to access.
If you prefer, you can phone a Customer Service Representative (CSR) Monday - Friday, 8 a.m. - 6 p.m. EST at 877-707-2583 (BLUE).
Provider Search
Use one of our online directories (performs on mobile devices, tablets and desktop computers) to search for a participating hospital, doctor or other health care provider. Please refer to the member’s BBA ID Card to see what network is part of the plan.
Search the National BlueCard® Network (inside the U.S)
Search the National BlueCard® Network (outside of the U.S., Puerto Rico, and the U.S. Virgin Islands)
Search the Tufts Medical Center Physicians Organization Employee Health Plan Provider Network
Search for a Participating Dental Network Provider
If your BBA Dental Plan includes access to the Dental GRID+ Network, use our online directory to search for a participating network dentist near you. Be certain to make sure that the provider is in the network referenced on your BBA member identification card by carefully reviewing your search results which includes a field that lists the provider's network affiliation.
Member Access
- Claim and Document Submission
- Benefits
- Claims
- Explanation of Benefits (EOB's)
- Provider Search, and much more!!
*Please be advised: As of August 1, 2022, we will no longer automatically send you your Explanation of Benefits (EOB) if you do not owe any money, or the amount is equal to a co-payment amount. This simple change will reduce our paper output – helping the environment by saving countless sheets of paper per year. EOB information will still be available on our secure member portal for viewing.
Need Help with Online Portal Registration or Password Assistance?
For assistance with portal registration or portal password assistance, please call 877-707-2583 (BLUE).
Secure Document Submission
Need to submit claims or a document? Go to our Secure Document Submission portal.
Need a form? Use the below forms and upload them on our secure portal.
Can't find what you are looking for? Contact us and speak with one of our members service representatives.
BBA Secure Document Portal
To submit claims, forms, or correspondence, choose from one of the applications below.
effective January 1, 2022
The No Surprises Act, enacted as part of the Consolidated Appropriations Act (CAA) in late 2020, provides new federal consumer protections against balance billing for medical bills under certain circumstances. Claims subject to balance billing protections may occur:
- In emergency situations when a patient can’t control who is involved in their care
- In non-emergency situations when they schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider
- When out-of-network air ambulance services are provided for services that would have been covered if the air ambulance provider was in-network
Ground ambulance claims are not included under the No Surprises Act.
These are your rights and protection under the law.
Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
- You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
- Your health plan generally must:
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
- Cover emergency services by out-of-network providers.
- Base what you owe the provider or facility (cost-sharing) on what you would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
Non-participating providers’ responsibilities and rights under the law
Under the No Surprises Act, non-participating providers are prohibited from balance billing under the circumstances described above.
The statute requires providers, including hospitals, to make notice about balance billing requirements and prohibitions publicly available and provide them to consumers. The regulations supporting the No Surprises Act detail information that must be included in such notice.
- If you have questions about this law, please contact Customer Service at 1-877-707-2583.
Resources
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