Skip to main content
  • This page, Job aids for the Provider Online Service Center, is   offered by
  • MassHealth

Job aids for the Provider Online Service Center

MassHealth has prepared a number of job aids as part of the Provider Online Service Center (POSC) e-Learning courses.

Beneath the name of each functional area listed below are links to the job aids associated with processes within those functional areas.

Important Note: The information on this page applies to all providers, except dental providers who are not oral or maxillofacial surgeons. Dental providers who are not oral or maxillofacial surgeons must contact the MassHealth Dental Customer Service Center at (800) 207-5019 if they have any questions about MassHealth.

Skip table of contents

Table of Contents

You skipped the table of contents section.

Claims Submission

Open PDF file, 144.23 KB,  MassHealth MMIS Job Aid: Copying a Claim (English, PDF 144.23 KB)
Open DOCX file, 231.34 KB,  MassHealth MMIS Job Aid: Copying a Claim (English, DOCX 231.34 KB)
Open PDF file, 434.8 KB,  MassHealth MMIS Job Aid: Replace or Adjust a Paid Claim (English, PDF 434.8 KB)
Open DOCX file, 620.08 KB,  MassHealth MMIS Job Aid: Replace or Adjust a Paid Claim (English, DOCX 620.08 KB)
Open PDF file, 238.52 KB,  MassHealth MMIS Job Aid: Resubmit a Denied Claim (English, PDF 238.52 KB)
Open DOCX file, 428.94 KB,  MassHealth MMIS Job Aid: Resubmit a Denied Claim (English, DOCX 428.94 KB)
Open PDF file, 278.72 KB,  MassHealth MMIS Job Aid: Void a Paid Claim (English, PDF 278.72 KB)
Open DOCX file, 646.87 KB,  MassHealth MMIS Job Aid: Void a Paid Claim (English, DOCX 646.87 KB)
Open PDF file, 173.08 KB,  MassHealth MMIS Job Aid: Inquire on Claim Status (English, PDF 173.08 KB)
Open DOCX file, 310 KB,  MassHealth MMIS Job Aid: Inquire on Claim Status (English, DOCX 310 KB)
Open PDF file, 343.63 KB,  MassHealth MMIS Job Aid: Institutional Claims Submission (English, PDF 343.63 KB)
Open DOCX file, 424.32 KB,  MassHealth MMIS Job Aid: Institutional Claims Submission (English, DOCX 424.32 KB)
Open PDF file, 430.29 KB,  MassHealth MMIS Job Aid: Professional Claims Submission (English, PDF 430.29 KB)
Open DOCX file, 604.75 KB,  MassHealth MMIS Job Aid: Professional Claims Submission (English, DOCX 604.75 KB)
Open PDF file, 463.58 KB,  MassHealth MMIS Job Aid: Manage Batch Files (English, PDF 463.58 KB)
Open DOCX file, 552.38 KB,  MassHealth MMIS Job Aid: Manage Batch Files (English, DOCX 552.38 KB)

Eligibility Verification

Open PDF file, 517.82 KB,  MassHealth MMIS Job Aid: Verify Member Eligibility (English, PDF 517.82 KB)
Open DOCX file, 1.34 MB,  MassHealth MMIS Job Aid: Verify Member Eligibility (English, DOCX 1.34 MB)
Open PDF file, 294.94 KB,  MassHealth MMIS Job Aid: Eligibility Verification – Upload Batch Files (English, PDF 294.94 KB)
Open DOCX file, 435.82 KB,  MassHealth MMIS Job Aid: Eligibility Verification – Upload Batch Files (English, DOCX 435.82 KB)

Health Safety Net (HSN)

Open PDF file, 78.21 KB,  New MMIS Job Aid: HSN Claims Migration to MMIS Overview (English, PDF 78.21 KB)
Open TXT file, 7.12 KB,  New MMIS Job Aid: HSN Claims Migration to MMIS Overview (English, TXT 7.12 KB)
Open PDF file, 18.7 KB,  New MMIS Job Aid: HSN Migration to MMIS (English, PDF 18.7 KB)
Open TXT file, 8.48 KB,  New MMIS Job Aid: HSN Migration to MMIS (English, TXT 8.48 KB)

Management Minutes Questionnaire (MMQ)

Open PDF file, 843.57 KB,  MassHealth MMIS Job Aid: Submit MMQ (English, PDF 843.57 KB)
Open DOCX file, 1.53 MB,  MassHealth MMIS Job Aid: Submit MMQ (English, DOCX 1.53 MB)

Pharmacy Claims Submission

Open PDF file, 11.44 KB,  New MMIS Job Aid: HIPAA Pharmacy Claims (English, PDF 11.44 KB)
Open DOCX file, 14.54 KB,  New MMIS Job Aid: HIPAA Pharmacy Claims (English, DOCX 14.54 KB)

Preadmission Screening

Open PDF file, 1.11 MB,  MassHealth MMIS Job Aid: Create a Pre-admission Screening Request (English, PDF 1.11 MB)
Open DOCX file, 1.64 MB,  MassHealth MMIS Job Aid: Create a Pre-admission Screening Request (English, DOCX 1.64 MB)
Open PDF file, 18.97 KB,  New MMIS Job Aid: Inquire on a Preadmission Screening Request (English, PDF 18.97 KB)
Open DOCX file, 14.98 KB,  New MMIS Job Aid: Inquire on a Preadmission Screening Request (English, DOCX 14.98 KB)
Open PDF file, 19.18 KB,  New MMIS Job Aid: Re-review a PAS Request (English, PDF 19.18 KB)
Open DOCX file, 14.98 KB,  New MMIS Job Aid: Re-review a PAS Request (English, DOCX 14.98 KB)
Open PDF file, 21.17 KB,  New MMIS Job Aid: Modify a Preadmission Screening Request (English, PDF 21.17 KB)
Open DOCX file, 15.17 KB,  New MMIS Job Aid: Modify a Preadmission Screening Request (English, DOCX 15.17 KB)
Open PDF file, 1.12 MB,  MassHealth MMIS Job Aid: Create a Conversion Request (English, PDF 1.12 MB)
Open DOCX file, 1.65 MB,  MassHealth MMIS Job Aid: Create a Conversion Request (English, DOCX 1.65 MB)
Open PDF file, 1.54 MB,  MassHealth MMIS Job Aid: Extend a Pre-admission Screening Request (English, PDF 1.54 MB)
Open DOCX file, 5.91 MB,  MassHealth MMIS Job Aid: Extend a Pre-admission Screening Request (English, DOCX 5.91 MB)

Prior Authorization

Open PDF file, 1.85 MB,  MassHealth MMIS Job Aid: Create a Prior Authorization Request (English, PDF 1.85 MB)
Open DOCX file, 2.26 MB,  MassHealth MMIS Job Aid: Create a Prior Authorization Request (English, DOCX 2.26 MB)
Open PDF file, 534.16 KB,  MassHealth MMIS Job Aid: Inquire about a Prior Authorization Request (English, PDF 534.16 KB)
Open DOCX file, 781.97 KB,  MassHealth MMIS Job Aid: Inquire about a Prior Authorization Request (English, DOCX 781.97 KB)
Open PDF file, 1.92 MB,  MassHealth MMIS Job Aid: Respond to a Deferred Prior Authorization Request (English, PDF 1.92 MB)
Open DOCX file, 2.53 MB,  MassHealth MMIS Job Aid: Respond to a Deferred Prior Authorization Request (English, DOCX 2.53 MB)

Provider Information & Navigation

Open PDF file, 463.58 KB,  MassHealth MMIS Job Aid: Manage Batch Files (English, PDF 463.58 KB)
Open DOCX file, 552.38 KB,  MassHealth MMIS Job Aid: Manage Batch Files (English, DOCX 552.38 KB)
Open PDF file, 10.74 KB,  New MMIS Job Aid: Managed Care Providers 834 and 820 Submission and Download (English, PDF 10.74 KB)
Open DOCX file, 19.39 KB,  New MMIS Job Aid: Managed Care Providers 834 and 820 Submission and Download (English, DOCX 19.39 KB)
Open PDF file, 25.3 KB,  New MMIS Job Aid: Update Provider Profile (English, PDF 25.3 KB)
Open DOCX file, 15.22 KB,  New MMIS Job Aid: Update Provider Profile (English, DOCX 15.22 KB)
Open PDF file, 22.24 KB,  MMIS Job Aid: Provider Online Service Center Overview (English, PDF 22.24 KB)
Open TXT file, 8.22 KB,  MMIS Job Aid: Provider Online Service Center Overview (English, TXT 8.22 KB)

Provider Security

Open PDF file, 68.65 KB,  MassHealth MMIS Job Aid: Change Password (English, PDF 68.65 KB)
Open DOCX file, 79.32 KB,  MassHealth MMIS Job Aid: Change Password (English, DOCX 79.32 KB)
Open PDF file, 215.96 KB,  MassHealth MMIS Job Aid: Create Subordinate Accounts (English, PDF 215.96 KB)
Open DOCX file, 511.85 KB,  MassHealth MMIS Job Aid: Create Subordinate Accounts (English, DOCX 511.85 KB)
Open PDF file, 269.9 KB,  MassHealth MMIS Job Aid: Update Accounts (English, PDF 269.9 KB)
Open DOCX file, 526.17 KB,  MassHealth MMIS Job Aid: Update Accounts (English, DOCX 526.17 KB)
Open PDF file, 251.24 KB,  MassHealth MMIS Job Aid: Link Subordinate Accounts (English, PDF 251.24 KB)
Open DOCX file, 505.11 KB,  MassHealth MMIS Job Aid: Link Subordinate Accounts (English, DOCX 505.11 KB)

Referrals

Open PDF file, 194.51 KB,  New MMIS Job Aid: Submit Referrals (English, PDF 194.51 KB)
Open DOC file, 45 KB,  New MMIS Job Aid: Submit Referrals (English, DOC 45 KB)
Open PDF file, 240.93 KB,  New MMIS Job Aid: Update Referrals (English, PDF 240.93 KB)
Open DOC file, 46 KB,  New MMIS Job Aid: Update Referrals (English, DOC 46 KB)
Open PDF file, 189.87 KB,  New MMIS Job Aid: Inquire on a Referral (English, PDF 189.87 KB)
Open DOC file, 47.5 KB,  New MMIS Job Aid: Inquire on a Referral (English, DOC 47.5 KB)

Residential Care Home/Rest Home Claims

Open PDF file, 20.91 KB,  New MMIS Job Aid: Submit a Residential Care Home Claim (English, PDF 20.91 KB)
Open DOC file, 64 KB,  New MMIS Job Aid: Submit a Residential Care Home Claim (English, DOC 64 KB)

SCO/PACE

Open PDF file, 26.54 KB,  New MMIS Job Aid: Enroll in PACE (English, PDF 26.54 KB)
Open DOCX file, 15.39 KB,  New MMIS Job Aid: Enroll in PACE (English, DOCX 15.39 KB)
Open PDF file, 21.54 KB,  New MMIS Job Aid: Disenroll in PACE (English, PDF 21.54 KB)
Open DOCX file, 15.29 KB,  New MMIS Job Aid: Disenroll in PACE (English, DOCX 15.29 KB)
Open PDF file, 24.3 KB,  New MMIS Job Aid: Enroll in SCO (English, PDF 24.3 KB)
Open DOCX file, 15.56 KB,  New MMIS Job Aid: Enroll in SCO (English, DOCX 15.56 KB)
Open PDF file, 26.86 KB,  New MMIS Job Aid: Disenroll in SCO (English, PDF 26.86 KB)
Open DOCX file, 15.32 KB,  New MMIS Job Aid: Disenroll in SCO (English, DOCX 15.32 KB)

Third Party Liability (TPL)

Open PDF file, 22.17 KB,  New MMIS Job Aid: Supplemental Instructions for MassHealth Dual Eligible Members with Medicare Part B Coverage Only (English, PDF 22.17 KB)
Open DOC file, 52 KB,  New MMIS Job Aid: Supplemental Instructions for MassHealth Dual Eligible Members with Medicare Part B Coverage Only (English, DOC 52 KB)
Open PDF file, 880.79 KB,  MassHealth MMIS Job Aid: Professional Claim Submission with Coordination of Benefits (English, PDF 880.79 KB)
Open DOCX file, 1.09 MB,  MassHealth MMIS Job Aid: Professional Claim Submission with Coordination of Benefits (English, DOCX 1.09 MB)
Open PDF file, 675.8 KB,  MassHealth MMIS Job Aid: Institutional Claim Submission with Coordination of Benefits (English, PDF 675.8 KB)
Open DOCX file, 1 MB,  MassHealth MMIS Job Aid: Institutional Claim Submission with Coordination of Benefits (English, DOCX 1 MB)

View Metrics/Reports

Open PDF file, 12.48 KB,  New MMIS Job Aid: Accessing PCC Plan Enrollment Roster Report (English, PDF 12.48 KB)
Open DOCX file, 14.81 KB,  New MMIS Job Aid: Accessing PCC Plan Enrollment Roster Report (English, DOCX 14.81 KB)
Open PDF file, 28.54 KB,  New MMIS Job Aid: View Remittance Advice Reports (English, PDF 28.54 KB)
Open DOCX file, 15.67 KB,  New MMIS Job Aid: View Remittance Advice Reports (English, DOCX 15.67 KB)
Open PDF file, 17.18 KB,  New MMIS Job Aid: View Metrics Reports (English, PDF 17.18 KB)
Open DOCX file, 15.39 KB,  New MMIS Job Aid: View Metrics Reports (English, DOCX 15.39 KB)

Help Us Improve Mass.gov  with your feedback

Please do not include personal or contact information.
Feedback