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Submit an electronic claims waiver request

Are you unable to submit claims online? Learn how you can apply for an electronic claims waiver.
We will respond within 30 days of receiving your request.

MassHealth Customer Service Center for Providers

The Details of Submit an electronic claims waiver request

What you need for Submit an electronic claims waiver request

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

You are eligible for the electronic claims waiver if you meet any of the following criteria:

  • A low volume of claims (20 or fewer per month) during a 12-month period
  • Temporary technical difficulties with software, systems, or testing with the Medicaid Management Information System (MMIS)
  • Lack of Internet access or a computer
  • A temporary disruption in service of at least 5 business days, caused by a natural disaster or utility work
  • Your staff responsible for submitting claims has a disability which prevents them from submitting them electronically, and reasonable accommodations won't easily help. You must attest this in writing to MassHealth.
  • Other extenuating circumstances

How to file Submit an electronic claims waiver request

  1. Download the Electronic Claims Waiver Request form (MS Word format listed below)
  2. Fill out the form.
  3. Email the form to the MassHealth Customer Service Center at providersupport@mahealth.net.

  1. Download the Electronic Claims Waiver Request form (MS Word format listed below)
  2. Fill out the form.
  3. Mail the form to:

MassHealth Customer Service Center
P.O. Box 121205
Boston, MA 02112-1205

  1. Download the Electronic Claims Waiver Request form (MS Word format listed below)
  2. Fill out the form.
  3. Fax the form to (617) 988-8974

Call the MassHealth Customer Service Center:

  • Main: (800) 841-2900
  • TTY: (800) 497-4648

More info for Submit an electronic claims waiver request

The approved electronic claims waiver will expire after 12 months. If you need an extension, you must apply with a new form at least 30 days before the expiration date.

Downloads for Submit an electronic claims waiver request

Contact for Submit an electronic claims waiver request

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