Get the free MassHealth Transmittal Letter AIH-50 December 2013 ... - Mass.Gov
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Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid www.mass.gov/masshealth IMS Health Transmittal Letter AIH-50 December 2013 TO: Acute Inpatient Hospitals
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How to fill out masshealth transmittal letter aih-50
How to fill out masshealth transmittal letter aih-50:
01
Start by ensuring that you have the correct form, AIH-50, which is used for transmitting claims for services rendered to MassHealth, the Massachusetts Medicaid program.
02
Begin by entering the date at the top of the form, including the month, day, and year.
03
Next, fill in your provider information. This includes your name, address, telephone number, and MassHealth provider number.
04
In the "Recipient Information" section, provide details about the patient for whom the services were rendered. This includes their name, MassHealth ID number, and date of birth.
05
If you are submitting a claim on behalf of a provider group, you will need to include the group practice name and MassHealth provider number as well.
06
Ensure that you accurately list the dates of service, including the month, day, and year, for each claim being submitted.
07
Indicate the place of service by selecting the appropriate code that corresponds to where the services were provided.
08
In the "Procedure Information" section, enter the CPT or HCPCS codes for each service provided. Include the number of units or quantity for each code as well.
09
If there were any adjustments made to the charges, such as discounts or contractual write-offs, include this information in the "Adjustment" section.
10
Finally, sign and date the form at the bottom to certify that the information provided is accurate and complete.
Who needs masshealth transmittal letter aih-50:
01
Healthcare providers who have rendered services to MassHealth recipients and need to submit claims for reimbursement.
02
Specifically, providers who participate in the MassHealth program and wish to transmit claims electronically using the AIH-50 form.
03
It is important for providers to submit the transmittal letter to ensure timely and accurate payment for the services they have provided.
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What is masshealth transmittal letter aih-50?
MassHealth transmittal letter AIH-50 is a form used to report certain information to MassHealth.
Who is required to file masshealth transmittal letter aih-50?
Employers and entities who are required to report specific information to MassHealth must file the AIH-50 form.
How to fill out masshealth transmittal letter aih-50?
The AIH-50 form must be filled out with accurate information regarding employees and their health coverage.
What is the purpose of masshealth transmittal letter aih-50?
The purpose of AIH-50 is to provide MassHealth with necessary information related to employee health coverage.
What information must be reported on masshealth transmittal letter aih-50?
The AIH-50 form must include information such as employee names, social security numbers, health coverage details, and other relevant data.
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