List of Explanation of Benefit Codes Appearing on the Remittance Advice

List of Explanation of Benefit (EOB) Codes Appearing on the Remittance Advice

MassHealth List of EOB Codes Appearing on the Remittance Advice

These are EOB codes, revised for NewMMIS, that may appear on your PDF remittance advice. This list was formerly published as Part 6 of the administrative and billing instructions in Subchapter 5 of your MassHealth provider manual. It has now been removed from the provider manuals and is posted as a freestanding document.

For more information on how to correct a claim, see the revised Part 6 of the administrative and billing instructions.

Edit Code Summary of Corrections

The following document contains common EOB codes that may appear on your MassHealth remittance advice. If any error on the claim that caused it to deny can be corrected, the corrected claim can be resubmitted to MassHealth. For more information on how to correct a claim, see Subchapter Part 5 of the Administrative and Billing Instructions in your provider manual.