Claim Instructions

DOCUMENTS NEEDED TO PROCESS A CLAIM
  • Bill/Health Insurance Claim Form a/k/a “HICFA”
  • Run notes/Trip notes from provider
  • Explanation of Benefits a/k/a “EOB”
NEW CLAIM INSTRUCTIONS
  • Submit the bill from the ambulance company to MASA with Member’s MASA number clearly displayed.
  • Submit the bill via E-Mail, Fax or Mail.
  • Attach the EOB and run notes, if readily available.
  • Contact the claims department directly with any questions.
Email: Ambulanceclaims@MASA.Global
Fax: 877-681-2399
Phone: 954-334-8261
Mail:
MASA
ATTN: CLAIMS DEPT.
P.O. Box 14130
Ft. Lauderdale, FL 33302