Electronic Visit Verification (EVV) Match Informational Explanation of Benefits (EOBS)

MassHealth EVV soft edits are now live, and you may see new EVV messages on your Remittance Advice (RA). For claims for EVV services processed through MassHealth, you may begin to see codes on your RA indicating whether a matching EVV visit was found in the Sandata EVV Aggregator for the EVV service on the claim. At this time, the existence of a matching or unmatching EVV visit is not affecting the MassHealth claims payment and is being supplied to aid providers in understanding where and why mismatches occur. This period of providing EVV match notification on the RA but not having EVV impact claims payment is called “EVV soft edits”. More information will be sent to EVV providers to provide guidance on these EVV specific edits and how to take corrective action. If you have general MA EVV policy related questions, please email EVVfeedback@mass.gov.

 

Electronic Visit Verification (EVV) Match Informational Explanation of Benefits (EOBS)
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