6.5 Claims Filing and ReimbursementProviders may refer to Volume 1 for general information regarding claims filing and reimbursement. See the online fee lookup (OFL) or the applicable fee schedule on the TMHP website at www.tmhp.com for reimbursement rates. Refer to: Section 3: TMHP Electronic Data Interchange (EDI) (Vol. 1, General Information) for information on electronic claims submissions. Section 6: Claims Filing (Vol. 1, General Information) for general information about claims filing. Subsection 6.5, "CMS-1500 Claim Filing Instructions" in Section 6, "Claims Filing" (Vol. 1, General Information) for instructions on completing paper claims. Subsection 6.6, "UB-04 CMS-1450 Claim Filing Instructions" in Section 6, "Claims Filing" (Vol. 1, General Information) for paper claims completion instructions. Section 2: Texas Medicaid Reimbursement (Vol. 1, General Information) for more information about reimbursement. Subsection 2.2, "Reimbursement Methodology" in Section 2, Texas Medicaid Reimbursement (Vol. 1, General Information) for more information. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2009 American Medical Association. All rights reserved. |
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