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.
Downloads
Open PDF file, 63.97 KB,
Electronic Claims Waiver Request
(English, PDF 63.97 KB)
Open PDF file, 1017.74 KB,
CMS-1500 Billing Guide
(English, PDF 1017.74 KB)
Open DOCX file, 860.73 KB,
CMS-1500 Billing Guide
(English, DOCX 860.73 KB)
Open PDF file, 1.07 MB,
UB-04 Billing Guide
(English, PDF 1.07 MB)
Open DOCX file, 683.26 KB,
UB-04 Billing Guide
(English, DOCX 683.26 KB)
Open PDF file, 680.2 KB,
Residential Care Home Billing Guide for the UB-04
(English, PDF 680.2 KB)
Open DOC file, 315 KB,
Residential Care Home Billing Guide for the UB-04
(English, DOC 315 KB)
Open PDF file, 459.61 KB,
ICD-10 Changes to CMS-1500 Billing Guide
(English, PDF 459.61 KB)
Open DOCX file, 87.27 KB,
ICD-10 Changes to CMS-1500 Billing Guide
(English, DOCX 87.27 KB)
Contact
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