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Blue Benefit Administrators of Massachusetts fax number
(877) 596-2583
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HIPAA/Privacy Officer
Used for: Submitting Health Reimbursement Account (HRA/Section 105) expense claims and handling confidential HIPAA communications
Fax destination details
- Department
- HIPAA/Privacy Officer
- Purpose
- Submitting Health Reimbursement Account (HRA/Section 105) expense claims and handling confidential HIPAA communications
- Form
- Health Reimbursement Account (HRA/Section 105) – Expense Claim Form — Health Reimbursement Account (HRA/Section 105) – Expense Claim Form
- Address
- P.O. Box 55917, Boston, MA 02205-5917
- Voice phone
- 877-707-2583
- Website
- Visit organization website
Before you send
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How to file a claim: complete all sections; use separate forms for different plan years; attach supporting documentation (EOBs, itemized provider statements, pharmacy receipts); do not submit cancelled checks or credit card receipts alone
Official form instructions are published as a downloadable file on the organization's website.
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