MassHealth Billing Guides for Paper Claims Submitters

What you need for MassHealth Billing Guides for Paper Claims Submitters

The following billing guides are instructions for submitting paper claims to MassHealth. 

Important Note: Review page 1 of each billing guide to determine which claim form you must use to submit your paper claims to MassHealth.

How to subscribe MassHealth Billing Guides for Paper Claims Submitters

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Sign up to receive email notification of updates to the MassHealth billing guides for paper claim submitters. Just send the blank email as it’s addressed.  No text in the body or subject line is needed.

 

Downloads for MassHealth Billing Guides for Paper Claims Submitters

Open PDF file, 73.45 KB, for Electronic Claims Waiver Request (PDF 73.45 KB)

Open DOCX file, 32.89 KB, for Electronic Claims Waiver Request (DOCX 32.89 KB)

Open PDF file, 707.75 KB, for CMS-1500 Billing Guide (PDF 707.75 KB)

Open DOCX file, 890.27 KB, for CMS-1500 Billing Guide (DOCX 890.27 KB)

Open PDF file, 617.58 KB, for UB-04 Billing Guide (PDF 617.58 KB)

Open DOCX file, 620.49 KB, for UB-04 Billing Guide (DOCX 620.49 KB)

Open PDF file, 680.2 KB, for Residential Care Home Billing Guide for the UB-04 (PDF 680.2 KB)

Open DOC file, 315 KB, for Residential Care Home Billing Guide for the UB-04 (DOC 315 KB)

Open PDF file, 459.61 KB, for ICD-10 Changes to CMS-1500 Billing Guide (PDF 459.61 KB)

Open DOCX file, 87.27 KB, for ICD-10 Changes to CMS-1500 Billing Guide (DOCX 87.27 KB)

Contact for MassHealth Billing Guides for Paper Claims Submitters

MassHealth Customer Service Center for Providers

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Phone

Main: Call MassHealth Customer Service Center for Providers, Main: at (800) 841-2900

Open Monday–Friday 8 a.m.–5 p.m.

TTY: Call MassHealth Customer Service Center for Providers, TTY: at (800) 497-4648

Open Monday–Friday 8 a.m.–5 p.m.

Online

Email MassHealth Customer Service Center for Providers at providersupport@mahealth.net

Fax

(617) 988-8974