Contacts
MassHealth Customer Service for Providers
Phone
Open Monday–Friday 8 a.m.–5 p.m.
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
Open PDF file, 44.5 KB,
Electronic Claims Waiver Request
(English, PDF 44.5 KB)
Open DOC file, 39.5 KB,
Electronic Claims Waiver Request
(English, DOC 39.5 KB)
Open PDF file, 707.75 KB,
CMS-1500 Billing Guide
(English, PDF 707.75 KB)
Open DOCX file, 890.27 KB,
CMS-1500 Billing Guide
(English, DOCX 890.27 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
Address
PO Box 278, Quincy, MA 02171
Phone
Open Monday–Friday 8 a.m.–5 p.m.
Fax
(617) 988-8910