Click here to open a PDF version of the Provider Technology Solutions brochure. You will need Adobe Acrobat Reader to view this file. How Tufts Health Plan's Technology Solutions Can Help You Tufts Health Plan has several electronic transaction programs available to providers. Data can be submitted via clearinghouses that offer rapid, highly standardized implementation processes, or via our direct submission option, which can provide cost advantages and flexibility. The Tufts Health Plan Web site is constantly evolving to provide easy access to useful information and services as well as access to the latest plan policies, programs, news, and health guidelines.
Providers can use the site to access, submit and transmit many forms of member information.
Providers can also use the web site as a valuable resource for Tufts Health Plan's procedures and programs, updated pharmacy and clinical information and Physician and Women's Health newsletters. Changes have been made which will add the ability to retrieve information and process certain transactions for your Tufts Health Plan members. This new technology will facilitate critical transactions in provider settings, including member eligibility requests, referral submissions, and referral inquiries. The new POS device functions will be accessed by either manually entering member's identification number or using the magnetic strip on the backs of the new commercial member ID cards. The Tufts Health Plan Provider Technology Solutions Group will work closely with you to align your business needs with the most appropriate technology solutions.