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6.1.1 Banner Pages
Banner pages are used to inform providers of changes in policies, claims, and procedures. The title pages include the following information:
• TMHP address for submitting paper copies of corrected and resubmitted claims
•Provider's name, address, and telephone number
•Unique R&S Report number specific to each report
•Provider identifiers
•Report sequence number (a cumulative number of R&S Reports the provider has received for the calendar year)
•Date of the week reported on the R&S Report
•Tax identification number
•Page number (the R&S Report begins with page 1)
•Automated Inquiry System (AIS) telephone number for AIS inquiry call
•Taxonomy code
•Benefit code
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