A key element to meeting these objectives rests with the automation of business practices that move away from paper-based transaction processing. MassHealth encourages those providers who submit their claims on paper to become familiar with our set of automated solutions.
The Provider Online Service Center (POSC) offers a way to check eligibility through the Eligibility Verification System (EVS) feature. This is a particularly useful tool set up to help save providers time by allowing the user to verify member eligibility before a service is offered. Ensuring members have appropriate coverage, before offering services, reduces the chances of claim denials related to member eligibility. You can also use the POSC to check the status of claims submitted to MassHealth.
For information on member eligibility verification and EDI claim status transactions, go to the EVS section of our Web site.
Additional EDI and HIPAA resources
- MassHealth Companion Guides
- Approved HIPAA Vendor List (PDF)
- Centers for Medicare & Medicaid Services
This information is provided by MassHealth.