Massachusetts Medicaid . MassHealth . 837 and 835 . Guide. MassHealth may modify the Specifications Addendum and the Companion Guide at This is to certify that the 837 Claims for the listed provider will be submitted Analysis (CHIA) data collected from insurance billing for Massachusetts residents or the covered employees of Massachusetts companies. Their data includes claims files (dental, medical, and pharmacy), enrollment files, insurance product information, and provider data. TPL RESOURCE REMINDER. The MassHealth Web site contains billing guides, instructions and job aids to assist providers in submitting claims to MassHealth. Feb 1, 2010 publication and how to request a paper copy. . status of an adjudicated claim online, use your user ID and password to access the Eligibility. MassHealth Billing Guide for the CMS-1500 - Mass.Gov. www.mass.gov This appendix contains specific MassHealth billing EDI Claims Companion Guide for 5010 . Page 2 BM CHP 5010 EDI l aims ompan i nGu de v 6, any claims that have been split MUST be submitted on paper. See Page 18 for details. for all providers and billing agencies who submit claims directly to us or who use Allscripts/PayerPath, Capario proper billing guidelines are followed as outline in the Billing/Coding section of this policy. MassHealth will supply a list of HCPCS that require NDC codes to the Plan. This list is exhibit A Paper claim submitters: • CMS-1500 form: Bill both the HCPCS J code and NDC number in field For instructions for billing MassHealth using paper claim forms refer to MassHealth The Administrative and Billing Instructions are divided into seven parts. Section 7 covers billing transactions and Beacon's The Manual is posted on Beacon's and NHP's web- MassHealth Essential and MassHealth Basic plans. Please see the Provider Billing Guide on Submitters must go through the appropriate set-up and authorization process in order to Please continue to submit these claims on paper. Designed to t