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POSC Job Aids

MassHealth has prepared a number of job aids as part of the 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 1-800-207-5019 if they have any questions about MassHealth.

Provider Information & Navigation

Additional Resources

Batch Claims Processing

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Editing Claims Post Submission

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Eligibility Verification

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Health Safety Net (HSN)

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HIPAA Pharmacy Claims

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Managed Care

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Preadmission Screening

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Prior Authorization

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Provider Profile Maintenance

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Provider Security

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Referrals

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SCO/PACE

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Submitting a Management Minutes Questionnaire

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Submitting Institutional Claims

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Submitting Professional Claims

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Submitting Residential Care Home/Rest Home Claims

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Third Party Liability (TPL)

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View Metrics/Reports

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