Technical Refresh Phase 2 - Quick Reference Guide
The document below is a quick reference guide of the new compliance requirements and the reject error codes that will be returned if the file fails along with an explanation of how to comply. It is imperative that you ensure that your electronic transactions are updated to comply with the requirements below on or before Phase 2 implementation. MassHealth strongly recommends that you successfully test these changes before sending the files to production.
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Open PDF file, 270.87 KB, Technical Refresh Phase 2 - Quick Reference Guide (English, PDF 270.87 KB)
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Open DOCX file, 31.21 KB, Technical Refresh Phase 2 - Quick Reference Guide (English, DOCX 31.21 KB)
Technical Refresh Phase 1 - Quick Reference Guide
The document below is a quick reference guide of the new compliance requirements and the reject error codes that will be returned if the file fails along with an explanation of how to comply. It is imperative that you ensure that your electronic 270 eligibility inquiry transaction is updated to comply with the requirements below on or before October 27, 2019. MassHealth strongly recommends that you successfully test these changes before sending the files to production.
Additional Resources
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Open PDF file, 213.2 KB, Technical Refresh Phase 1 - Quick Reference Guide (English, PDF 213.2 KB)
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Open DOCX file, 54.68 KB, Technical Refresh Phase 1 - Quick Reference Guide (English, DOCX 54.68 KB)
X12 Transaction
The document below has an example of X12 pre-compliance processing and Pre-Compliance Errors for EDI X12 Inbound Transactions.
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Open PDF file, 187.2 KB, X12 Transaction (English, PDF 187.2 KB)
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Open DOCX file, 22.53 KB, X12 Transaction (English, DOCX 22.53 KB)
New HIPAA Translator Changes
The document below details HIPAA translator changes by transaction type and provider impact.
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Open PDF file, 194.2 KB, New HIPAA Translator Changes (English, PDF 194.2 KB)
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Open DOCX file, 49.39 KB, New HIPAA Translator Changes (English, DOCX 49.39 KB)
999 Transaction
Examples of 999 acknowledgements containing multiple transaction sets.
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Open PDF file, 145.77 KB, 999 Transaction Examples (English, PDF 145.77 KB)
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Open DOCX file, 102.71 KB, 999 Transaction Examples (English, DOCX 102.71 KB)
835 Example
Example of an 835 transaction containing multiple payees.
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Open PDF file, 118.1 KB, 835 Example (English, PDF 118.1 KB)
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Open DOCX file, 51.96 KB, 835 Example (English, DOCX 51.96 KB)
Member Eligibility Fact Sheet
Member Eligibility 270/271 Batch Transaction Update
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Open PDF file, 81.84 KB, Member Eligibility Fact Sheet (English, PDF 81.84 KB)
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Open DOCX file, 23.9 KB, Member Eligibility Fact Sheet (English, DOCX 23.9 KB)
Frequently Asked Questions
Commonly asked questions related to Technical Refresh
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Open PDF file, 238.85 KB, Frequently Asked Questions (English, PDF 238.85 KB)
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Open DOCX file, 40.84 KB, Frequently Asked Questions (English, DOCX 40.84 KB)