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.
Additional Resources
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Technical Refresh Phase 2 - Quick Reference Guide, Open PDF file, 270.87 KB (English, PDF 270.87 KB)
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Technical Refresh Phase 2 - Quick Reference Guide, Open DOCX file, 31.21 KB (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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Technical Refresh Phase 1 - Quick Reference Guide, Open PDF file, 213.2 KB (English, PDF 213.2 KB)
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Technical Refresh Phase 1 - Quick Reference Guide, Open DOCX file, 54.68 KB (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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X12 Transaction, Open PDF file, 187.2 KB (English, PDF 187.2 KB)
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X12 Transaction, Open DOCX file, 22.53 KB (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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New HIPAA Translator Changes, Open PDF file, 194.2 KB (English, PDF 194.2 KB)
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New HIPAA Translator Changes, Open DOCX file, 49.39 KB (English, DOCX 49.39 KB)
999 Transaction
Examples of 999 acknowledgements containing multiple transaction sets.
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999 Transaction Examples, Open PDF file, 145.77 KB (English, PDF 145.77 KB)
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999 Transaction Examples, Open DOCX file, 102.71 KB (English, DOCX 102.71 KB)
835 Example
Example of an 835 transaction containing multiple payees.
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835 Example, Open PDF file, 118.1 KB (English, PDF 118.1 KB)
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835 Example, Open DOCX file, 51.96 KB (English, DOCX 51.96 KB)
Member Eligibility Fact Sheet
Member Eligibility 270/271 Batch Transaction Update
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Member Eligibility Fact Sheet, Open PDF file, 81.84 KB (English, PDF 81.84 KB)
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Member Eligibility Fact Sheet, Open DOCX file, 23.9 KB (English, DOCX 23.9 KB)
Frequently Asked Questions
Commonly asked questions related to Technical Refresh
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Frequently Asked Questions, Open PDF file, 238.85 KB (English, PDF 238.85 KB)
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Frequently Asked Questions, Open DOCX file, 40.84 KB (English, DOCX 40.84 KB)