As part of our ongoing commitment to operational improvement and consolidation of business processes, we will be conducting an upgrade of our claims systems for Tufts Medicare Preferred HMO and Tufts Health Plan Senior Care Options (SCO), effective for dates of service beginning April 1, 2024.
There is no action for providers to take — please continue to submit your claims as you do today.
Paper checks and electronic funds transfers will be released on the same dates as previously. Please keep in mind that since claims for these products with dates of service prior to April 1 will process on the current claims system, providers may receive separate payments as claims runout occurs.
We will be closely monitoring the claims activity related to this system upgrade to support a smooth transition and will work with providers on any questions that may arise on claims settlement.
Audrey Kleinberg,
Director, Provider Relations & Communications
Annmarie Dadoly,
Senior Manager, Provider Communications
Joseph O’Riordan, Susan Panos, Ellen Gustavson, Ryan Francis, Stephen Wong,
Writers
Kristin Edmonston,
Production Coordinator
Kristina Cicelova,
Graphic Designer