MassHealth, the Health Safety Net, and PIP are not the same claim. MassHealth is run by the Executive Office of Health and Human Services. Managed-care members are billed to their MassHealth plan. Fee-for-service MassHealth is a different submission. The Health Safety Net pays certain uninsured and underinsured hospital and community-health-center care. It is not a MassHealth payer ID.
MassHealth, the Health Safety Net, and PIP are not the same claim.
MassHealth is run by the Executive Office of Health and Human Services. Managed-care members are billed to their MassHealth plan. Fee-for-service MassHealth is a different submission. The Health Safety Net pays certain uninsured and underinsured hospital and community-health-center care. It is not a MassHealth payer ID.
Medicare Part A and Part B for a Massachusetts practice go to National Government Services, Jurisdiction K, with the rest of New England and New York. New York Medicaid still goes to eMedNY, not to MassHealth.
Massachusetts is a no-fault state. Personal injury protection is billed to the auto insurer. A work injury is billed to the employer's carrier under the Department of Industrial Accidents. Neither one replaces a MassHealth claim.
A Massachusetts schedule needs the product named before coding is released. MassHealth plan, fee-for-service MassHealth, Medicare through National Government Services, and a PIP insurer do not share a timely-filing rule. The current payer manual is the one that is followed.
No. The Health Safety Net is a separate payment stream for certain hospital and community-health-center care.
To the personal-injury-protection insurer, not to MassHealth.
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.
