Back to Insights and Updates for ProvidersApril 2024

Claims system upgrade for select Medicare products

Tufts Health Plan Senior Care Options  |  Tufts Medicare Preferred HMO

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,

Kristin Edmonston,
Production Coordinator

Kristina Cicelova,
Graphic Designer