In General

US Family Health Plan will pay “Clean Claims,” which means that they are

• Submitted on forms with all fields completed accurately
• Accompanied by a completed referral form, if required
• Not pended or involving Coordination of Benefits (COB)/Third-Party Liability, or Workers
  Compensation

Please submit all claims within 90 days, coinciding with the date of service, date of discharge, or date of primary carrier's Explanation of Benefits (EOB). Claims received after this time frame will be denied, and the member will not be held responsible for payment.

If you are not set up with EDI send first submissions to:

US Family Health Plan
P.O. Box 495
Canton, MA 02021-0495

Providers may submit claims electronically by means of a variety of external clearinghouse sources. Please contact your representative for more information. 

For complete information about billing, please see the “Billing” section of our Provider Manual.