CSHCN Services Program 2010 > TMHP Electronic Data Interchange (EDI) > Forms

37.11 Forms

The following forms are available in Appendix B, "Forms,":

•Appendix B, "Claim Status Inquiry (CSI) Authorization"

•Appendix B, "Electronic Funds Transfer (EFT) Notification"

Note: Photocopy these forms and retain the originals for reuse. Forms are also available at www.tmhp.com.

Refer to: Section 5.8, "Reimbursement".