Massachusetts denied-claim help
Wrong perinatal visit modifier
A 61-90 minute visit was billed without TF, or a visit up to 60 minutes was billed with TF.
Denial guidance uses state billing sources.
Next actions avoid reimbursement guarantees.
Source trail remains visible for review.
Start here
Short answer
A 61-90 minute visit was billed without TF, or a visit up to 60 minutes was billed with TF.
Next step
Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose a stateCheck what is neededUse the checklist to sort setup, visit notes, codes, and payer details.Open checklistKeep client work privateUse planning tools without client identifiers. Keep private details in approved records.Open worksheet
Wrong perinatal visit modifier
A 61-90 minute visit was billed without TF, or a visit up to 60 minutes was billed with TF.
Why this page exists
Denial pages use the same checked state sources as the app.
101 CMR 319.00 - Rates for Doula ServicesMassachusetts Executive Office of Health and Human Services · Effective December 8, 2023; 99600 $100, 99600 TF $150, 99199 $900; $800 perinatal-period cap · checked 2026-06-15MassHealth Doula Services Program - Information for DoulasMassHealth (MA EOHHS) · Program coverage and provider information · checked 2026-06-15