MassHealth Provider Services

MassHealth identified an issue affecting some acute outpatient hospital claims that were processed under the Enhance Ambulatory Patient Group (EAPG) pricing methodology when another payer made a payment and/or applied… Continue Reading Adjustments of Acute Outpatient Hospital Claims with Coordination of Benefits (COB) Information 

Effective September 1, 2024, MassHealth will no longer be able to support claims status inquiry calls. To determine if a claim is paid, denied, or suspended, you are encouraged to… Continue Reading Changes To Claims Status Checks