These are EOB codes, revised for NewMMIS, that may appear on your PDF remittance advice. This list was formerly published as Part 6 of the administrative and billing instructions in Subchapter 5 of your MassHealth provider manual. It has now been removed from the provider manuals and is being posted as a freestanding document. For more information on how to correct a claim, see the revised Part 6 of the administrative and billing instructions. The MassHealth provider manuals are available in the Provider Library of the MassHealth Web site.
This information is provided by MassHealth.