MassHealth Approved HIPAA-Compliant Vendor List 07/01/2015

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1 MassHealth Approved HIPAA-Compliant List 07/01/2015 MassHealth works closely with a large number of software vendors and clearinghouses / billing intermediaries that support our providers. The MassHealth vendor list below provides the names, phone numbers, transaction types, and services of vendors that are approved to submit electronic HIPAA-compliant transactions. The list also indicates whether the vendor supports coordination of benefits () claims as well as transactions that are key to reducing the need to submit paper claims. This list was not created for endorsement purposes but rather to assist providers in identifying vendors who support HIPAA-compliant claim transactions for MassHealth. s wishing to submit 837-Dental transactions should contact DentaQuest at or by at [email protected]. # Name City State Phone Transaction Type AAA Billing And Reimbursement Services Able Assistant (Crystal Springs) ABREA Technologies, (Free Medical Claims) Accumedic Computer Systems, Andover MA I, 837P Assonet MA /271, 276/277, 837P Newark NJ /271, 276/277, 835, 837I, 837P Great Neck NY /271, 276/277, 835, 837I, 837P 5. Accupoint, Jersey City NJ /271, 276/277, 835, 837I, 837P 6. Advanced Data System Paramus NJ ,837P 7. Advantage Healthcare Billing Andover MA , 837I, 837P 8. Advantage Medical Billing Hampton NH /271, 276/277, 835, 837P 9. Advantage Reimbursement Andover MA /271, 276/277, 835, 837I, 837P AdvantEdge Healthcare Solutions (Automated Medical Systems, ) AdvantEdge Healthcare Solutions (D.B.A. Hill Associates) Affiliated Professional Services, Salem NH ext /271, 276/277, 835, 837P Salem NH /271, 276/277, 835, 837I, 837P Wareham MA /271, 276/277, 835, 837P 13. All States Medicaid Milford MA /271, 276/277, 835, 837P Allscripts Healthcare Solutions, Alora Healthcare Systems, American Health Plan (American HealthTech) Raleigh NC , 837I Decatur GA I, 837P Jackson MS /277, 835, 837I 17. AMSplus, Salem NH /271, 276/277, 835, 837P 18. Annkissam Cambridge MA /271, 835, 837I 19. Antek (CompuGroup Medical) Reisterstown MD , 837P 20. AOD Ft. Lauderdale FL I 21. Assured Business Support Services Venice FL , 837P 22. Athena Healthcare, Watertown MA /271, 276/277, 835, 837I, 837P 23. Automated Business Solutions, Media PA /271, 835, 837P Page 1 of 6

2 MassHealth Approved HIPAA-Compliant List 07/01/2015 # Name City State Phone Transaction Type 24. Availity, Jacksonville FL /271, 276/277, 835, 837I, 837P 25. Axiom Systems, (Ivertex) Frederick MD /271, 276/277, 835, 837I, 837P 26. Bay Cove Human Services, Boston MA , 837P 27. Baystate Health Systems Springfield MA , 837I, 837P 28. Baystate Medical Center Springfield MA /277, 835, 837I, 837P BilAmerica, (Medusind Solutions India Pvt. Ltd.) BMS Reimbursement Management Orlando FL I Upland CA /277, 835, 837P 31. Bonafide Management System Thousand Oaks CA , 837P 32. Boston Business Systems, Acton MA /271, 276/277, 835, 837I, 837P 33. Brightree, Lawrenceville GA /271, 835, 837P 34. Caid Solutions Greendale AZ I 35. Capario (Emdeon) Santa Ana CA /271, 835, 837P 36. Cardon Healthcare Network The Woodlands TX /271, 276/277, 835, 837I, 837P 37. Care Anywhere Morrisville NC I 38. Cerner Kansas City MO , 837I, 837P 39. Claim Remedi, Santa Rosa CA /271, 276/277, 835, 837I, 837P 40. Claims On Time Greenfield MA , 837P 41. ClaimTrak Systems, Chandler AZ /271, 276/277, 835, 837I, 837P 42. Coastal Medical Billing Sutton MA , 837I, 837P 43. Commonwealth Medicine (Public Health Vaccination Program) Charlestown MA , 837P 44. CompuClaim, Newport RI /271, 276/277, 835, 837I, 837P 45. Computer Programs and Systems, (CPSI) Mobile AZ /271, 276/277, 835, 837I, 837P 46. Comstar, Rowley MA , 837P 47. Corrigan Mental Health Center Boston MA , 837I 48. Cortex EDI Fullerton CA /271, 276/277, 835, 837I, 837P 49. Credible Wireless, Rockland MD /271, 835, 837I, 837P Delta Health Technologies, DSH Management Solutions, Altoona PA Sterling VA /271, 276/277, 835, 837I, 837P 52. E Practice Solutions, LTD Raynham MA , 837P 53. eclinicalworks, Westborough MA /271, 276/277, 835, 837I, 837P 54. Economized Time Services (ETS) Acton MA /271, 276/277, 835, 837P 55. Electronic Billing Service Sikeston MO , 837P Page 2 of 6

3 MassHealth Approved HIPAA-Compliant List 07/01/2015 # Name City State Phone Transaction Type Electronic Network Systems, Emdeon Business Services, Colorado Springs Nashville CO , 837P TN Option 1 270/271, 835, 837I, 837P 58. Emergent Billing, Holyoke MA /271, 276/277, 835, 837P 59. ET&T, Mesa AZ /271, 276/277, 835, 837I, 837P 60. Futura International Clearwater FL GE Healthcare (IDX Systems ) Genesis Healthcare, (Sun Healthcare Group) ext , 837P South Burlington VT /271, 276/277, 835, 837I, 837P Kenneth Square PA /271, 835, 837I 63. Gosnold, Falmouth MA /271, 276/277, 835, 837I, 837P 64. Hallmark Health Malden MA I, 837P 65. Harmony Information System Reston VA ,837P 66. Hart Associates, Dedham MA , 837P 67. HB Solutions Lowell MA /271, 276/277, 835, 837I, 837P 68. Health Care Resources, Westfield MA /271, 276/277, 835, 837P 69. Health Fusion Gladstone MO /271, 276/277, 835, 837I, 837P 70. Healthcare Computer Fort Worth TX /271, 835, 837I, 837P 71. Healthdrive Newton MA , 837I, 837P 72. Healthmaster Holdings, Walled Lake MI /271, 276/277, 835, 837I, 837P 73. Healthpac Computer Systems, Savannah GA /271, 276/277, 835, 837I, 837P 74. HealthWyse, Wilmington MA /271, 276/277, 835, 837I, 837P 75. Hebrew Rehabilitation Boston MA , 837P 76. Homecare Accounting Solutions Lincroft NJ /271, 276/277, 835, 837I, 837P 77. Indura Systems, San Rafael CA /271, 276/277, 835, 837I, 837P Ingenix Care Tracker, (Optum Insight) Integrated Physicians Management Services Providence RI , 837P East Hartford CT /277, 835, 837P 80. J Johnson Billing Services Plymouth MA , 837I, 837P 81. Kindred Healthcare, Inc (Hillhaven ) Louisville KY I 82. Kinnser, Austin TX , 837I, 837P 83. Lahey Clinic Hospital Burlington MA , 837I 84. Lahey Clinic, Burlington MA , 837P 85. Law Office of Peter V. Kent Danvers MA /271, 837I 86. LogixHealth, (Med Reimbursement Systems) Bedford MA /271, 276/277, 835, 837P Page 3 of 6

4 MassHealth Approved HIPAA-Compliant List 07/01/2015 # Name City State Phone Transaction Type 87. Mass Eye and Ear Boston MA , 837P 88. Mass General Physicians Org Boston MA , 837P 89. MBS Services (Massachusetts Billing Services) Somersworth NH /271, 276/277, 835, 837I, 837P 90. McKesson St. Louis MO /271, 276/277, 835, 837I, 837P MDI Achieve, (QuickCare Services, L.P.) Med Pro Medical Management, Bloomington MN /271, 276/277, 835, 837I, 837P Lakeville MA /271, 276/277, 835, 837P 93. MED2000 Redondo Beach CA /277, 835, 837I, 837P 94. MedAssets (Xactimed) Plano TX , 837I, 837P MEDENT (Community Computer Service) Medical Billing Specialists, Ltd. (Medical Billing Services) Medical Claim (MD On-Line) Auburn NY P Port Orange FL /271, 276/277, 835, 837I, 837P Bristol CT , 837P 98. Medical Data Management Framingham MA , 837I, 837P 99. Medical Management of NE Auburn MA , 837P 100. Medical Office Support Services, Plattsburgh NY /271, 276/277, 835, 837P 101. Medical Systems, Peabody MA /271, 276/277, 835, 837I, 837P 102. Medical Transcriptions Billing Somerset NJ /271, 276/277, 835, 837I, 837P 103. MEDITECH Westwood MA /271, 276/277, 835, 837I, 837P 104. Mellotech Oakdale NY /271, 276/277, 835, 837I, 837P 105. Meridian Medical Management (System Services, ) Windsor CT /271, 276/277, 835, 837I, 837P 106. Micro Support Group, Beverly MA /271, 835, 837P 107. New England Healthcare Exchange Network (NEHEN) Waltham MA /271, 276/277, 837I, 837P 108. Netsmart Technologies, Great River NY /271, 276/277, 835, 837I, 837P New England Medical Billing, NTT DATA Long Term Care Solutions, (Keane Care, ) South Easton MA /271, 276/277, 835, 837I, 837P Redmond WA , 837I, 837P 111. Nuesoft Technologies, Marietta GA , 837I, 837P 112. Numeric, West Springfield MA , 837P 113. Office Ally Vancouver WA ext /271, 276/277, 835, 837I, 837P 114. OmniSYS, Greenville TX /271, 276/277, 835, 837P Passport Health Communications, Paton Data (PDC ) Franklin TN /271, 276/277, 835, 837I, 837P Merrimack NH /277, 835, 837P Page 4 of 6

5 MassHealth Approved HIPAA-Compliant List 07/01/2015 # Name City State Phone Transaction Type 117. Per-Se Technologies (Relay Health) Alphretta GA P 118. Peter B. Plumb, CPA Southbridge MA /271, 276/277, 835, 837I, 837P 119. Phicure, Glenmont NY /271, 276/277, 835, 837I, 837P Physician s Computer Company Physicians Professional Management Physicians Professional Services PointClickCare (Wescom Solutions) Winooski VT /271, 276/277, 835, 837I, 837P Lewiston ME P Medford MA /271, 276/277, 835, 837P Mississauga ON I, 837P 124. Practice Insight, Houston TX /271, 276/277, 835, 837I, 837P 125. Pratt Medical Management I Boston MA , 837P 126. Pro Bill, Huntington WV , 837P 127. schoice, East Freetown MA , 837P 128. Psyquel Solutions San Antonio TX /271, 276/277, 835, 837P 129. Pulse Systems, Wichita KS /271, 276/277, 835, 837I, 837P 130. QS/1 (J M Smith ) Spartanburg SC /271, 276/277, 835, 837I, 837P 131. Quadax, Cleveland OH , 837P 132. Reimbursement Technologies Conshohocken PA , 837P 133. RelayHealth (National Data ) Tulsa OK /271, 276/277, 835, 837I, 837P 134. RouteMatch, Atlanta GA /271, 835, 837P 135. RTZ Associates, Oakland CA /271, 835, 837I, 837P 136. Salisbury Associates Medical Practice Management Worcester MA /271, 276/277, 835, 837I, 837P 137. Sandata Technologies Port Washington NY Seacoast Laboratory Data Systems, Portsmouth NH /271, 835, 837I, 837P 139. Shore M M Project Chelsea MA /271, 276/277, 835, 837I, 837P 140. SMART Management, Providence RI /271, 276/277, 835, 837I, 837P 141. SOS (Salaina Office Service) Liverpool NY /271, 276/277, 835, 837I, 837P 142. South Bay Mental Health Brockton MA , 837P 143. STM Technology, Stow MA /271, 276/277, 835, 837I, 837P 144. Suburban Area Boston MA , 837I, 837P 145. System Designs, Dallas TX , 837I, 837P 146. Tech Services, Pembroke MA P 147. The Cambridge Hospital Cambridge MA , 837P Page 5 of 6

6 MassHealth Approved HIPAA-Compliant List 07/01/2015 # Name City State Phone Transaction Type 148. The Consult, Cincinnati OH /271, 276/277, 835, 837I, 837P 149. The Dawson Group, Cranston RI /277, 835, 837I, 837P 150. The SSI Group, Mobile AL /271, 276/277, 835, 837I, 837P 151. Thom Child & Family Services Natick MA /271, 276/277, 835, 837I, 837P 152. TK, Carmel IN /271, 276/277, 835, 837I, 837P 153. Trapeze Group Scottsdale AZ /271, 835, 837P TriTech Systems (Sweet & Ortivus) TriZetto Solutions, (ClaimLogic, and Gateway EDI) University of Massachusetts (UMass) Medical School Municipal Viatrack Systems (NextGen Healthcare Information Systems, ) Decorah IA /277, 835, 837I, 837P St. Louis MO /271, 276/277, 835, 837I, 837P Shrewsbury MA /271, 835, 837I, 837P Augusta GA , 837I, 837P 158. Vinfen Cambridge MA , 837I, 837P 159. WorldTide, Williamsburg MA /271,837P 160. ZirMed, Louisville KY , 837I, 837P 161. ZOLL Medical Bloomfield CO ext /271, 276/277, 835,837I, 837P 162. Zotec Partners, Carmel IN /271, 276/277, 835, 837P * Response: A checkmark ( ) in this column denotes that the did not confirm their information with MassHealth. Page 6 of 6

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