Service Bureau for Medicaid Billing

Let ETS take care of the billing for you. Our Service Bureau is available for all Medicaid program billing.

Medicaid Program Billing

Following up on unpaid claims and filing for necessary waivers can be a frustrating and time-consuming experience. Our tenured billing staff knows how to get agencies paid on time. 

Many agencies find dealing with MassHealth challenging and turn to ETS to process their billing. You never have to worry about whether your billing will be completed due to time, staffing shortages or turnover at your agency. At ETS, we submit billing at regular intervals to best suit your agency’s needs. The goal is to get billing submitted timely and accurately so as not to interrupt cash flow.

We take time to:

• Verify all billing information sent to us before submitting to MassHealth
• Reconcile payments
• Communicate denials and other issues to the provider
• Correct errors and resubmit claims

As part of our Service Bureau, we can provide your agency with fiscal year-end reports for auditing needs.  

835 Remittance File

ETS receives an 835 payment file from MassHealth, which we parse out for each provider and upload to our secure pickup site. As we know, billing and error codes are always changing. We keep an updated list of HIPAA error codes and make that list available to providers.

90-Day Waivers and Appeals

We have assisted numerous agencies in recovering outstanding funds by submitting 90-day waivers to MassHealth. While MassHealth final appeals have a low approval rate, we have had success with those filings. We are proud to share that our efforts have helped agencies recover over $1 million in revenue that was otherwise lost due to delayed filings.