At Commonwealth Care Alliance (CCA) our goal is to provide the most seamless, efficient claims process for our provider network. On September 13, 2024, CCA will be turning on a series of industry-standard claims edits consistent with our existing payment policies.
The activation of these claims edits is a key step in ensuring that claims are processed accurately, reducing the need for revisions or delays in reimbursements. These updates ensure that CCA continues to process claims in compliance with regulatory standards. As usual, CCA will continue to adhere to current standard claims edits to follow coding and billing regulations, policies and guidelines from MassHealth and the Centers for Medicare & Medicaid Services (CMS).
If you have specific questions about claims edits, please refer to our payment policies on the CCA website. You can also contact our Provider Services team for additional information, questions or concerns at 866-420-9332, 8:00am to 6:00pm, Monday through Friday.