TMPPM 2008 > Texas Medicaid Services > Hospital (Medical/Surgical Acute Care Facility) > Outpatient

   
 

25.3.5.1 Claim Filing Resources

Refer to the following sections and/or forms on the page numbers listed below when filing claims:

Resource
Page Number

Automated Inquiry System (AIS)

vii

TMHP Electronic Data Interchange (EDI)

3-1

UB-04 CMS-1450 Claim Filing Instructions

5-30

TMHP Electronic Claims Submission

5-13

Communication Guide

A-1

Hospital Report (Newborn Child or Children) HHSC Form 7484

B-49

Sterilization Consent Form (English)

B-94

Sterilization Consent Form (Spanish)

B-96

Sterilization Consent Form Instructions

B-97

Hospital-Based ASC Claim Example

D-17

Hospital Inpatient Claim Example

D-18

Hospital Outpatient Claim Example

D-18

Acronym Dictionary

F-1


Texas Medicaid & Healthcare Partnership
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