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Health Care Training Forum

Retro Claims Adjustment for HCPC U0005

May 24, 2021

MassHealth is aware that claims with HCPC U0005 are denying in error for Edit 4801 - Procedure Not Covered by Provider Contract. MassHealth has corrected the error and reprocessed all of the impacted claims with a date of service on or after 1/1/2021. All adjusted claims will appear on this or a future remittance advice.

If you have questions, please contact the MassHealth Customer Service Center at providersupport@mahealth.net or (800) 841-2900.