GLOBAL TRANSPORT HOTLINE
24 HOUR - ACCESS TO SERVICES
CALL (800) 643-9023 (TOLL FREE)

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@masaglobal.com
Fax: (877) 681-2399
Phone: (800) 643-9023
Mail:
MASA
ATTN: CLAIMS DEPT.
1250 S. Pine Island Road, Suite 500
Plantation, FL 33324