Real-time functions provide the ability to verify eligibility, check claims status, locate providers, review requests and responses, and make claim-related financial inquiries.ĮPayment/EFT allows providers to receive payments electronically from payers that have contracted with Change Healthcare to perform this service. This is completed by the submission of either an enrollment form or direct link by a vendor who has access to the Change Healthcare self-service enrollment portal. To receive ERA files directly from your vendor, providers must be set up in the Change Healthcare system to receive ERAs. Call the statewide, toll-free ESP number at. The provider can submit an enrollment form themselves, or instruct their vendor to access the Change Healthcare self-service enrollment portal to create a direct linkage. If its a behavioral health emergency, you may also contact the Emergency. To submit claims for patient visits, providers must first be set up in the Change Healthcare system. Managed Care Organization (MCO) We work with providers across the state to. Please contact Member Services if you need assistance. Please be advised that due to COVID-19 (novel coronavirus) and as a public health measure, we are not able to support walk-in member inquiries at this time. Both have the same benefits package and it is only the network of doctors that are different for each plan. Contact Us A one-stop resource for Member and Provider contact information. WellSense offers two types of MassHealth plans. Please make your selection from the following available transaction types: MassHealth is the Medicaid program in Massachusetts that offers coverage at no cost for those that qualify.
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