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5.5.2 Other Insurance AppealsProviders appealing a claim denial due to other insurance coverage must submit to TMHP the complete other-insurance information, including all EOBs with disposition dates. The disposition date is the date on which the other insurance company processed the payment or denial. If a provider submits other-insurance EOBs without disposition dates, the appeal will be denied.
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| CPT only copyright 2012 American Medical Association. All rights reserved. |