TMPPM 2008 > Provider Information > Client Eligibility > Third Party Resources (TPR)

4.10.4 THSteps Requirements

THSteps dentists are not required to bill other insurance before billing Medicaid; however, if the provider is aware of other insurance, the provider documents the other insurance in the client's medical record. TMHP processes the claim for payment, determines if a TPR exists, and seeks reimbursement from the TPR.

THSteps medical check up providers rendering services to clients who are not in a managed care program must file directly to TMHP. TMHP processes the claim for payment, determines if a TPR exists, and seeks payment from the TPR.

Note: THSteps medical check up providers are not required to pursue TPR.

Refer to: "Other Insurance" for more information.