Why can’t we see denial reason codes on the Provider Online Service Center (POSC) so that we don’t have to wait for the remittance advice to determine the status of a claim?
Viewing the status of electronic claims through the POSC varies, based upon the media type used and the time that the claim is submitted. If your claim is submitted via direct data entry (DDE) using the POSC, the status of that claim will appear immediately upon submission of the claim, along with the associated EOB code, if the claim is denied. If you submit a batch of claims using the 837 batch claim submission option, you will be able to view the status of the claims (that is, paid, denied, or suspended) within approximately one hour of submission, assuming that you submit directly to MassHealth. For claims that have been denied from the batch claim file, you will see the HIPAA adjustment reason code after the financial cycle has been performed for that week (typically on Fridays). Please note that when you check the status of an 837I file in the POSC, the 277 transaction will return the HIPAA adjustment reason codes and HIPAA entity codes and not the proprietary MassHealth edit cod
