Massachusetts Insurance Companies Contact: Behavioral Health Provider Numbers
Massachusetts insurance companies contact information is the set of provider phone numbers and official pages a mental health practice uses for eligibility, claims and appeals. This page lists the behavioral health provider numbers for private insurers that cover Massachusetts, plus Massachusetts Medicaid enrollment. Checked October 2026.
MCM South Medical Billing Service bills for psychotherapists and psychiatrists in Massachusetts and makes these calls for them. Get a Free Quote
Behavioral health provider contacts
MassachusettsInsurance Companies Contact
Provider phone numbers for psychotherapists and psychiatrists, checked and sourced.
Confirmed October 2026
Massachusetts insurance companies contact: private payer provider numbers
Call the provider services number on the patient’s member ID card first. The numbers below come from each insurer’s official provider page. Blue Cross Blue Shield is a federation of independent companies, so only the Massachusetts licensee applies here. Nothing on this page is legal advice.
| Insurer | Provider phone | Official page |
|---|---|---|
| Aetna | 888-632-3862 Non-Medicare plans 800-624-0756 Medicare plans |
Aetna provider contact page |
| Blue Cross Blue Shield of Massachusetts | 800-882-2060 Provider service 800-524-4010 Behavioral health authorization |
Provider Central MCM South guide |
| Carelon | 800-397-1630 National provider services line: network status and general questions 800-888-3944 General questions about claims 800-282-4548 Availity Essentials support: claims, eligibility, claim status 877-331-7154 Payspan registration: direct deposit and remittance |
Provider contact information |
| Cigna (Evernorth) | 800-882-4462 Cigna Healthcare 800-926-2273 Evernorth Behavioral Health |
Cigna provider home |
| Humana | 800-457-4708 Medicare eligibility, benefits, claims 800-523-0023 Prior authorization, including behavioral health |
Humana provider home |
| Oscar | 855-672-2755 Provider services, option 4: eligibility, billing, claims, prior authorization | Oscar provider contact page |
| Senior Whole Health, Massachusetts | 855-838-7999 Provider services | Provider quick reference guide (PDF) |
| United Behavioral Health (Optum) | 877-614-0484 Behavioral health and substance use, 24/7 | UnitedHealthcare provider contact directory |
| UnitedHealthcare | 800-600-9007 Medicare Advantage and Community Plan 800-291-2634 All Savers |
UnitedHealthcare provider contact directory |
| WellSense Health Plan, Massachusetts | 888-566-0008 Provider Service Center 617-951-3464 Prior authorization requests 866-853-5241 Care management |
Provider resources |
Massachusetts Medicaid provider enrollment
MassHealth (EOHHS) runs Massachusetts Medicaid. Call (800) 841-2900, Customer Service for Providers. Monday to Friday, 8 a.m. to 5 p.m. Checked October 2026. Source: MassHealth provider enrollment overview.
Massachusetts Medicare: who processes your Part B claims
Massachusetts Medicare claims go to one Medicare Administrative Contractor (MAC). National Government Services (NGS) is the MAC for Massachusetts. NGS began operating under the name Wellpoint Federal on April 1, 2026. CMS lists Massachusetts in Jurisdiction K on its CMS Jurisdiction K page (last modified July 8, 2026). Medicare Advantage plans from Aetna, Humana or UnitedHealthcare are private plans, so call the number on the member card for those. Medicare, Medicaid and private payers follow different rules. Phone numbers come from the CMS provider contact table, checked October 2026.
| Medicare contractor | Jurisdiction | Provider phone | Official page |
|---|---|---|---|
| National Government Services (NGS), operating as Wellpoint Federal | Jurisdiction K (Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont) | 866-837-0241 (TTY 866-786-7155) | Wellpoint Federal provider contact page |
What to have ready before you call a Massachusetts insurer
A short, prepared call is faster than a long one. Keep these in front of you before you dial any Massachusetts insurance companies contact number:
- The patient’s name as it appears on the card, date of birth and address.
- Your individual NPI (National Provider Identifier) and your tax ID.
- The date of service, the CPT code and the total billed amount. See the non-E/M CPT guide and the E/M CPT guide for psychiatrists.
- The claim number from the payer portal, if you have one.
Write down the name of the representative and a call reference number. Phone menus, holds and transfers can add up, and a dropped call means starting over. If you would rather not make these calls, MCM South does it for psychotherapists and psychiatrists.
Massachusetts insurance contact FAQs
Who do I call for Massachusetts insurance eligibility and claims for therapy?
Call the provider services number on the patient’s member ID card. If the plan carves out behavioral health, use the behavioral health number for that plan, listed in the table above.
Does MCM South bill Massachusetts practices?
Yes. Massachusetts is one of the ten states MCM South serves, for psychotherapists and psychiatrists. Insurance verification, denied claim follow-up and credentialing are part of the work.
Where are the numbers for other states?
The full insurance companies contact directory lists insurers by state, with the date each number was checked.
Related: CPT and E/M code guide, in-network vs. out-of-network, billing terms glossary and billing services.
Free CPT code quick sheets for Massachusetts practices
Three one-page PDFs for your billing desk, built to sit beside the Massachusetts insurance companies contact numbers above. Each lists the codes with time ranges and links to the CMS pages we checked in October 2026. CPT codes are national, but payer rules vary by state and by insurer.
E/M codes for psychiatrists
Evaluation and management codes plus psychotherapy add-ons, with time ranges.
Psychotherapy codes (non-E/M)
Individual, family, group and crisis psychotherapy codes at a glance.
Psychological and neuropsychological testing codes
Testing, administration and scoring, and brief screening codes.
