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Transactions & Code Sets

Transactions & Code Sets -
Current Status of Massachusetts Payers

HIPAA mandates implementation of the ANSI standard transaction formats (claims, remittance advice, eligibility, referrals, claims status, enrollment) by October 16, 2003.

    CMS Communication on Contingency Planning - September 2003

Links to Payers' HIPAA Web Pages

* NOTE: Many of the payers/health plans have regularly scheduled "open" phone calls for providers.

  • Blue Cross Blue Shield of Massachusetts: weekly call on Wednesdays at 2:00pm. The number is 617-246-2199, PIN#: 447720.
  • Harvard Pilgrim Health Care: weekly call on Thursdays at 9:00am to discuss the 835. The number is 877-396-2994, PIN# 849906.

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