43.4.7.4 Claims InformationProviders must submit services provided by licensed dietitians in an approved electronic claims format or on a CMS-1500 claim form from the vendor of their choice. TMHP does not supply the forms. Claims for services that have been prior authorized must reflect the PAN in Block 23 of the CMS-1500 Claim Form or its equivalent. Refer to: "TMHP Electronic Data Interchange (EDI)" for information on electronic claims submissions. "Claims Filing" for general information about claims filing. "Licensed Dietitians (THSteps-CCP Only)" for a claim form example. "CMS-1500 Claim Filing Instructions" for claims completion instructions. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved. |
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