Yes, all eligibility can be checked by visiting the Provider Portal.

Reimbursement will be the same as the Complete HMO.

There is no dedicated prefix for the Complete Access EPO plan.

Your existing Commercial contract with Mass General Brigham Health Plan will not change.

You can confirm your participation by utilizing our online provider directory or via the Provider Portal

Standard referral rules apply. You can check referral requirements here.

Authorizations will be required where applicable. For the most up-to-date information, visit our prior authorization guidelines page.

No, if a member is moving from one Commercial plan to the Complete Access EPO Plan any authorization that was previously obtained should be valid.

There is no change for paper claim submission. Providers should refer to the information on our claims page.

The electronic payer ID will remain the same.

We plan to adhere to the current standard filing rules, which is 90 days unless otherwise specified in your contract. Providers should refer to their contracts for any questions.

No, we’ll have one combined EOP for all lines of business.

We're here to help! Please send any additional questions to: CompleteAccessEPOContractingMailbox@mgb.org

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