Request for Claim Review Form and Mailing Information

The following table lists the correct mailing address to submit a Request for Claim Review Form to Tufts Health Plan by product:

Product

Address

Tufts Health Plan Commercial (including Tufts Health Freedom Plan)1

Tufts Health Plan
Provider Payment Disputes
P.O. Box 9190
Watertown, MA 02471-9190

USFHP

US Family Health Plan
Provider Payment Disputes
P.O. Box 9195
Watertown, MA 02471-9900

Tufts Medicare Preferred HMO

Tufts Medicare Preferred HMO
Provider Payment Disputes
P.O. Box 9162
Watertown, MA 02471-9162

Tufts Health Plan SCO

Tufts Health Plan SCO
Provider Payment Disputes
P.O. Box 9162
Watertown, MA 02471-9162

Tufts Health Public Plans2

Tufts Health Public Plans
Provider Payment Disputes
P.O. Box 9194
Watertown, MA 02471-9194

Registered providers may submit claim adjustments for Commercial (including Tufts Health Freedom Plan)1, Tufts Medicare Preferred HMO and Tufts Health Plan SCO using the secure Provider website. If you are not a registered user of our website, go to the secure Provider website and follow the instructions to register.

Refer to the applicable Provider Payment Dispute Policies for more information about submitting payment disputes and/or claim adjustments:

1Commercial products include HMO, POS, PPO, Tufts Health Freedom Plan, and CareLinkSM when Tufts Health Plan is the primary administrator.

2Tufts Health Public Plans products include Tufts Health Direct, Tufts Health RITogether, Tufts Health Together (includes MassHealth MCO Plan and Accountable Care Partnership Plans), and Tufts Health Unify.