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    OpenPayerToolsPayer Contact DirectoryPoint32Health

    Point32Health Contact Directory

    25 contact channels across 4 types (Email, Fax, Mailing Address, Phone) for claims, prior authorization, provider services, and more.

    Last verified Aug 25, 2026 from the payer's published directories.

    Phone

    6 rows

    ContactPurposeLine of BusinessHoursNotesSource
    888-884-2404Claims Status, Provider Services, Behavioral HealthAllN/AIVR phone number for claim status information for commercial products. - Status information via IVR | Tufts Health Plan Commercial Provider Services | Behavioral Health department – for further information related to referrals, prior authorizations and notifications (Tufts Health Plan commercial)View source
    617-972-9495Credentialing EnrollmentAllN/ACredentialing Department – general credentialing inquiriesView source
    800-708-4414, option 1, option 3Edi Electronic ClaimsAllN/AEDI Team line listed for electronic claim submission questions and payer ID guidance. - EDI TeamView source
    888-880-8699 ext. 54042Edi Electronic ClaimsAllN/AEDI Operations phone used for electronic transaction setup requests. - EDI OperationsView source
    888-888-4742 ext. 31035Medical ManagementAllN/ACare Management (care coordination / medical management)View source
    800-708-4414Provider Services, PharmacyAllMonday–Friday, 8 a.m.–5 p.m.Provider Service Center – general provider inquiries, including assistance with prior authorization and other functions | Harvard Pilgrim Health Care / Point32Health – Pharmacy Utilization Management phone for prior authorization (PBM contact on NH uniform PA form)View source

    Fax

    8 rows

    ContactPurposeLine of BusinessHoursNotesSource
    857-304-6300Appeals DisputesCommercialN/AFax number shown alongside provider payment disputes appeal instructions. - Provider payment disputesView source
    617-673-0909Credentialing EnrollmentCommercialN/AAncillary providers interested in contracting with Tufts Health Plan – fax for ancillary contracting applicationsView source
    617-972-9591Credentialing EnrollmentAllN/ACredentialing Department – fax for credentialing documentationView source
    866-884-3844Edi Electronic ClaimsAllN/AEDI contact fax. - EDI TeamView source
    617-972-9409Prior AuthorizationCommercialN/APrecertification Operations Department – fax for outpatient medical prior authorization requests (Tufts Health Plan commercial)View source
    888-977-0776Prior AuthorizationCommercialN/AFax for behavioral health prior authorization – Tufts Health DirectView source
    888-415-9055Prior AuthorizationCommercialN/AFax for medical services prior authorization – Tufts Health DirectView source
    800-232-0816Prior AuthorizationCommercialN/AFax for medical services prior authorization – Harvard Pilgrim Health CareView source

    Mailing Addresses

    6 rows

    ContactPurposeLine of BusinessHoursNotesSource
    Tufts Medicare Preferred or Tufts Health Plan SCO, P.O. Box 478, Canton, MA 02021-0478Appeals DisputesAllN/AMailing address for provider payment disputes for Tufts Health Plan Commercial and other listed payment disputes. - Provider payment disputesView source
    Tufts Health Plan Provider Payment Disputes, P.O. Box 251, Canton, MA 02021-0251Appeals DisputesCommercialN/AMailing address for provider payment disputes for Tufts Health Plan Commercial. - Provider payment disputesView source
    UnitedHealth Integrated Services, P.O. Box 30783, Salt Lake City, Utah 84130-078Claims SubmissionCommercialN/APaper claims mailing address for commercial (HMO, POS, PPO) products outside MA, ME, NH, RI, and VT. - Commercial (HMO, POS, PPO) — outside of MA, ME, NH, RI and VTView source
    P.O. Box 809025, Dallas, TX 75380-9025Claims SubmissionCommercialN/APaper claims mailing address for Harvard Pilgrim Health Care / StudentResources. - Harvard Pilgrim Health Care / StudentResourcesView source
    Harvard Pilgrim Health Care, P.O. Box 699183, Quincy, MA 02269-9183Claims Submission, Appeals DisputesAllN/APaper claims mailing address for commercial (HMO, POS, PPO) products in MA, ME, NH, RI, and VT. | Mail all provider claim appeals to this address for Harvard Pilgrim Health Care; also listed as claims appeals address in provider appeals overview. - Commercial (HMO, POS, PPO) — in MA, ME, NH, RI and VT | Provider claim appealsView source
    Tufts Health Plan, Attn: Credentialing Department, 1 Wellness Way, Canton, MA 02021Credentialing EnrollmentAllN/ACredentialing Department mailing address for credentialing documentationView source

    Email

    5 rows

    ContactPurposeLine of BusinessHoursNotesSource
    SP_Provider_Appeals@point32health.orgAppeals DisputesAllN/AEmail for appeals related to lack of prior authorization/notification or compensation/reimbursement. - Request for Claim Review FormView source
    edi_team@point32health.orgEdi Electronic ClaimsAllN/AEDI Team email. - EDI TeamView source
    EDI_operations@point32health.orgEdi Electronic ClaimsAllN/AEDI Operations email used for electronic transaction setup requests. - EDI OperationsView source
    AlliedContracting@point32health.orgProvider ServicesCommercialN/AAncillary providers interested in contracting with Tufts Health Plan – Allied/Ancillary contractingView source
    provider_information_dept@point32health.orgProvider Services, Credentialing Enrollment, Behavioral HealthAllN/ASubmitting a Medical or Behavioral Health Provider Information Form (Tufts Health Plan products) | Credentialing Department – submission of credentialing information and provider information forms (Tufts Health Plan products) | Ancillary Behavioral Health providers – submission of applications for contractingView source

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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    Where this data comes from

    Every contact in this directory comes from documents the payers publish themselves, such as provider manuals, quick reference guides, and contact pages, and each payer page shows when its contacts were last verified. You can see all of our data sources and how we process them.

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