Blue Benefit MA Medical, Dental, and Vision Document Submission Portal

Blue Benefit MA Medical, Dental, and Vision Document Submission Portal
Submission Guidelines:

Required Forms: Please ensure the appropriate form is completed. If a form is required, you can find it under the Member Forms section on www.bluebenefitma.com

One Document Type per Submission: Each submission should include only one document type per member.

Medical, Dental, and Vison Claims: For medical, dental, and vision claims, submit only one claim per member/per provider at a time. Be sure to include proof of payment along with the completed claim form.
Participant's Name*

First NameLast Name
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.
Group/Employer's Name*
Document Type*
File Upload *

(Limit of 5 Files)
Cancelof
Please note:

The uploaded file must be DOC, DOCX, PDF, GIF, JPG, PNG, TIFF or TIF in format. The uploaded file must be less than 28MB in size.

Renaming a non-supported file type to a supported file types will not be accepted. EXAMPLE: myreceipt.png to myreceipt.pdf

Please ensure the file name is 25 characters or less.
Please visit https://ebpa.wealthcareportal.com/Page/Home
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