Q1: How can I get an estimate of my cost on a proposed medical service?
Providing your estimated cost requires some detailed information. The more information you can provide up front, the quicker we can provide a response. At a minimum we will require the provider contact's name and phone number. If possible, please provide the following information as well:
- CPT (procedural) code or detailed description of service(s) being rendered
- Amount being billed for each service
- Approximately when the service will be rendered
- A brief description of the condition
Once the information is gathered, you may call Customer Service toll-free at 800-899-5920 or email firstname.lastname@example.org. We will respond to your request within two working days.
Q2: Where can I view protocols and utilization review criteria?
Select this link to view the Utilization Review criteria and protocol for Massachusetts.