For more information about Dental claims e-mail your request to the Dental Third Party Administrator.
Most Common Claim Denials by Provider Type
In an effort to help your office achieve optimum efficiency, we have identified the most common denial reasons by provider type and the steps to correct these denials. We ask you to review this data to help you to eliminate these denial reasons from your claims.
Most Common Reasons Why Your MassHealth Claims Deny
Upon request MassHealth will provide you with the top denial reasons for your organization. Submit a request by e-mailing firstname.lastname@example.org. Be sure to include your MassHealth provider number, your provider type (for example, podiatry), and your e-mail address. All requests will be responded to within five business days and we will do our best to provide you with all of the information you requested. For additional assistance when billing MassHealth, visit the Billing Tips page of this Web site.
Click below to see the most common claim denial reasons for the following provider types:
- Acute Inpatient Hospital
- Acute Outpatient Hospital
- Community Health Center
- Durable Medical Equipment
- Home Health Agency
- Nursing Facility
This information is provided by MassHealth.