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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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.
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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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New HIPAA Translator Changes
The document below details HIPAA translator changes by transaction type and provider impact.
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999 Transaction
Examples of 999 acknowledgements containing multiple transaction sets.
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835 Example
Example of an 835 transaction containing multiple payees.
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Member Eligibility Fact Sheet
Member Eligibility 270/271 Batch Transaction Update
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Frequently Asked Questions
Commonly asked questions related to Technical Refresh