Note: Dental providers can contact us at 1-800-207-5019 to learn about electronic claims submission options for dental claims.

Important Paper Claims Information: Effective January 1, 2012, MassHealth is moving toward an all-electronic claims submission policy to achieve greater efficiency. All claims must be submitted electronically, unless the provider has received an approved electronic claim submission waiver. 90-day waiver requests and final deadline appeals may be submitted either electronically via the Provider Online Service Center (POSC) or on paper.

Please see All Provider Bulletin 217, dated September 2011, for more information about MassHealth’s paper claims waiver policy. For information on how to submit 90-day waiver requests and final deadline appeals electronically, please also see All Provider Bulletin 220 and All Provider Bulletin 221, dated December 2011.

You can submit claims requiring attachments as follows:

  • You can submit claims electronically with attachments using the direct data entry (DDE) functionality on the Provider Online Service Center (POSC). An electronic copy of your attachment(s) can be uploaded with the claim.
  • You can submit claims on paper with paper attachments, if you have an approved electronic claim submission waiver.

Note: “Attachments” does not refer to coordination of benefits (COB) attachments, such as an explanation of benefits (EOB) from another insurer or explanation of Medicare benefits (EOMB) from Medicare.
 


This information is provided by MassHealth .