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MassHealth Provider Library

MassHealth Billing Guides for Paper Claims Submitters

You must submit all claims electronically unless you have an approved electronic claims waiver to submit paper claims.

Contact

MassHealth Customer Service Center for Providers

Phone

Main: (800) 841-2900

Open Monday–Friday 8 a.m.–5 p.m.

TTY: (800) 497-4648

Open Monday–Friday 8 a.m.–5 p.m.

Online

providersupport@mahealth.net

The Details

What you need

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

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

Electronic Claims Waiver Request (PDF 48.03 KB)
Electronic Claims Waiver Request (DOCX 25.63 KB)
CMS-1500 Billing Guide (PDF 1003.67 KB)
CMS-1500 Billing Guide (DOC 994.5 KB)
UB-04 Billing Guide (PDF 603.48 KB)
UB-04 Billing Guide (DOC 791 KB)
Residential Care Home Billing Guide for the UB-04 (PDF 680.2 KB)
Residential Care Home Billing Guide for the UB-04 (DOC 315 KB)
ICD-10 Changes to CMS-1500 Billing Guide (PDF 459.61 KB)
ICD-10 Changes to CMS-1500 Billing Guide (DOCX 87.27 KB)

Contact

Phone
Main: (800) 841-2900

Open Monday–Friday 8 a.m.–5 p.m.

TTY: (800) 497-4648

Open Monday–Friday 8 a.m.–5 p.m.

Online
providersupport@mahealth.net
Fax
(617) 988-8974
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