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As you know, CCA makes updates to our claims processing on a regular basis to ensure compliance with regulatory standards. This includes the activation of claims edits as a key step in ensuring that claims are processed accurately, reducing the need for revisions or delays in reimbursements. CCA also makes routine updates 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).   

We want to remind our network providers where to find CCA’s General Coding and Billing Payment Policy for specific language and guidance around claims edits: HERE

If you have reviewed the policy and still have questions, you can contact Provider Services at 866-420-9332, 8 am – 5 pm Monday, Tuesday, Wednesday, and Friday 8:30 am – 5 pm Thursday.