Provider Online Service Center (POSC)
The POSC is a web-based portal that is available to MassHealth providers, business partners, and relationship entities to view information, submit and receive transactions, and effectively conduct business with MassHealth online. Providers, business partners, and relationship entities must be enrolled in and/or registered to use the POSC.
- Enrollment as a MassHealth provider and management of profile information
- Real-time, interactive claims processing
- Status and payment information
- Direct data entry and modification of individual transactions such as prior authorization (non- LTSS providers), pre-admission screening, and eligibility verification
- Viewing of notifications, contracts, reports, metrics, and financial data
- Provider Security – creating and managing subordinate accounts
- Links to MassHealth provider and Mass.gov
To access the POSC: MassHealth Provider Online Service Center (state.ma.us)
Learn more about POSC and Job aids.
Provider Online Service Center (POSC) Job Aids
MassHealth has prepared a variety of job aids as part of the POSC e-Learning courses. The job aids are organized by functional area. The jobs aids can be found on the Job aids for the Provider Online Service Center (POSC) webpage. Beneath the name of each functional area listed below are links to the job aids associated with processes within those functional areas.
List of job aids functional areas:
- Provider Information & Navigation
- Batch Claims Processing
- Editing Claims Post Submission
- Eligibility Verification
- Health Safety Net (HSN)
- HIPAA Pharmacy Claims
- Managed Care
- Preadmission Screening
- Prior Authorization
- Provider Profile Maintenance
- Provider Security
- Referrals
- SCO/PACE
- Submitting a Management Minutes Questionnaire
- Submitting Institutional Claims
- Submitting Professional Claims
- Submitting Residential Care Home/Rest Home Claims
- Third Party Liability (TPL) (Note: The Professional and Institutional TPL job aid instructions supplement the instructions found in the Professional and Institutional Claim Submission with MassHealth job aids. Providers should follow the instructions described in the Professional or Institutional Claim Submission with MassHealth job aids, and then refer to the TPL job aid when reporting COB information on the claim
- View Metrics/Reports
LTSS Provider Portal
The LTSS Provider Portal is a web-based portal that is available to MassHealth LTSS providers. All users must be enrolled in and/or registered to use the LTSS Provider Portal. Below outlines the LTSS Provider Portal functionalities:
- Enrollment as a MassHealth provider
- Management of profile information
- Provider Revalidation
- Viewing of MassHealth notifications and updates
- Submission of prior authorizations
- Portal Security – creating and managing subordinate accounts
- Training presentations and resources
- Links to key resources and information on Mass.gov
Access the LTSS Provider Portal here.
| Date published: | July 29, 2022 |
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