The State Organization Index provides an alphabetical listing of government organizations, including commissions, departments, and bureaus.
Top-requested sites to log in to services provided by the state
Error: There is a discrepancy between the Explanation of Benefits (EOB) from the other insurer and the MassHealth claim, or in the other information from the primary insurer.
Resolution: Verify and correct the claim or EOB (as necessary) then resubmit the claim. Refer to the provider billing tips flyer, Correcting Error Code 053, located in the Billing Tips link under MassHealth Customer Service for Providers in MassHealth for Providers for assistance in correcting the issue.
Error: The service code entered on the claim requires a prior-authorization (PA) number.
Resolution: Refer to the DME & Oxygen Payment and Coverage Guideline Tool where a list of all covered codes indicates those codes requiring a PA. You can request a PA electronically through MassHealth's Automated Prior- Authorization System (APAS). For information on APAS, call 1-866-378-3789.
Error: The service was billed for a date range, and not for a single date of service.
Resolution: Correct the claim by sending in each date of service for that procedure code on a different claim detail line.
Error: The service was billed for more units than those allowed within a specific time period for the member.
Resolution: Verify number of units allowed for the service in the Provider Manual.