Help

Step	Action	Response
MassHealth Provider Online Service Center Provider Enrollment Application Modify Service Location - Address Type The Address Type panel allows the applicant/provider to view and maintain address type information and associated address usage for the service location. The user selects a service location from the List of Locations panel and the List of Address Types panel displays for that service location. The user then selects an existing address type to maintain from the List of Address Types panel then can delete or update the address type data from the Service Location Detail panel.
Fields marked with a red asterisk (*) are required. Error Resolution: If an error is detected a statement is displayed in the upper portion of the panel. The statement indicates the problem and the method of correction and is preceded by a small red circle with a white "x" () in it. The small red circle with a white "x" () also appears next to required fields that are in error. Click to close this Help panel.
1	a) Click on a Location Record to be modified for the List of Locations panel. OR b) Use the numbers and arrows to Scroll through for more record choices.	a) A List of Address Types panel displays all the address types for the selected service location. b) Additional lists of records for the List of Locations panel are displayed.
2	a) Click on an Address Type record to be modified for the List of Address Types panel. OR b) Use the numbers and arrows to Scroll through for more record choices.	a) A Service Location Detail panel is filled with all the values for the selected record. b) Additional lists of records for the List of Address Types panel are displayed.
3	Directions for entering any of the values on the List of Address Types panel follow: Type Values Type values in the Contact, Address Line 1, Address Line 2, and City fields. Drop Down List Box Select a value from the drop down list box for the State field. Type Values Type values in the Zip Code, Email, Phone Number, and Fax Number fields. Assign Available Codes 1) Select values for the Selected Service Locations field: 2) A text box of all available values appears on the left side of the panel with a text box of assigned values on the right. A column of arrows is in between the two text boxes. 3) Clicking on the right single arrow (>) sends one value at a time from the available list to the assigned. Clicking on the left single arrow (<) sends one value at a time back from the assigned list to the available list. 4) Clicking on the right double arrow (>>) sends all the values from the available list to the assigned list. Clicking on the left double arrow (<<) sends all the values back from the assigned list to the available list. Check Box Click on Billing Address, Remittance Address, Information Address, and/or Check Mailing Address to place a check in the check box and select the Address Type.
	Perform Steps 4, 5 and 6 to Cancel Item, Update or Remove on the Service Location Detail Panel.
4	To back out any changes on this panel that have not been saved yet, click on Cancel Item on the Service Location Detail panel. OR	Any unsaved modifications to the Service Location Detail panel are removed and the panel closes.
5	Click on Update on the Service Location Detail panel. OR	The record is updated and the Service Location Detail panel closes.
6	Click on Remove on the Service Location Detail panel.	The record is deleted and the Service Location Detail panel closes.
	Perform Steps 7, 8, 9 and 10 to go Back to the previous panel, Continue to the next panel, Cancel, or Save on any unsaved data on any panels accessed during this process.
7	Click on Back on the List of Address Types panel. OR	The system navigates to the previous panel in the provider enrollment process and displays the Service Location panel.
8	Click on Continue on the List of Address Types panel. OR	The system continues the provider enrollment process and displays the Identification Information panel.
9	To back out any changes on any panels that have not been saved yet, click on Cancel Service on the List of Address Types panel. OR	Any unsaved modifications or deletes to any panels during this process are backed out and the system returns to the initial Start An Enrollment Application - Security Warning panel.
10	Click on Save on the List of Address Types panel.	All information input on any panel for the provider enrollment application is saved. This allows the user to save the data and, exit the provider enrollment application process, and continue the provider enrollment application at another time. The system displays an Application Saved panel.

Step	Action	Response
MassHealth Provider Online Service Center Provider Enrollment Application Add Service Location - Address Type The Address Type panel allows the applicant/provider to enter information and associated address usage for the service location. The user selects a service location from the List of Locations panel and the List of Address Types panel displays for that service location. The user then clicks New Item from the List of Address Types panel then can add the address type data from the Service Location Detail panel.
Fields marked with a red asterisk (*) are required. Error Resolution: If an error is detected a statement is displayed in the upper portion of the panel. The statement indicates the problem and the method of correction and is preceded by a small red circle with a white "x" () in it. The small red circle with a white "x" () also appears next to required fields that are in error. Click to close this Help panel.
1	a) Click on a Location Record to be modified for the List of Locations panel. OR b) Use the numbers and arrows to Scroll through for more record choices.	a) A List of Address Types panel displays all the address types for the selected service location. b) Additional lists of records for the List of Locations panel are displayed.
2	Click on New Item on the List of Address Types panel.	A Service Location Detail panel appears with pre-filled or blank values in each field.
3	Directions for entering any of the values on the Service Location Detail panel follow: Type Values Type values in the Contact, Address Line 1, Address Line 2, and City fields. Drop Down List Box Select a value from the drop down list box for the State field. Type Values Type values in the Zip Code, Email, Phone Number, and Fax Number fields. Assign Available Codes 1) Select values for the Selected Service Locations field: 2) A text box of all available values appears on the left side of the panel with a text box of assigned values on the right. A column of arrows is in between the two text boxes. 3) Clicking on the right single arrow (>) sends one value at a time from the available list to the assigned. Clicking on the left single arrow (<) sends one value at a time back from the assigned list to the available list. 4) Clicking on the right double arrow (>>) sends all the values from the available list to the assigned list. Clicking on the left double arrow (<<) sends all the values back from the assigned list to the available list. Check Box Click on Billing Address, Remittance Address, Information Address, and/or Check Mailing Address to place a check in the check box and select the Address Type.
	Perform Steps 4 and 5 to Cancel Item or Add on the Service Location Detail panel.
4	To back out any changes on this panel that have not been saved yet, click on Cancel Item on the Service Location Detail panel. OR	Any unsaved modifications to the Service Location Detail panel are removed and the panel closes.
5	Click on Add on the Service Location Detail panel.	The record is added and the Service Location Detail panel closes.
	Perform Steps 6, 7, 8 and 9 to go Back to the previous panel, Continue to the next panel, Cancel, or Save on any unsaved data on any panels accessed during this process.
6	Click on Back on the List of Address Types panel. OR	The system navigates to the previous panel in the provider enrollment process and displays the Service Location panel.
7	Click on Continue on the List of Address Types panel. OR	The system continues the provider enrollment process and displays the Identification Information panel.
8	To back out any changes on any panels that have not been saved yet, click on Cancel Service on the List of Address Types panel. OR	Any unsaved modifications or deletes to any panels during this process are backed out and the system returns to the initial Start An Enrollment Application - Security Warning panel.
9	Click on Save on the List of Address Types panel.	All information input on any panel for the provider enrollment application is saved. This allows the user to save the data and, exit the provider enrollment application process, and continue the provider enrollment application at another time. The system displays an Application Saved panel.