TMPPM 2008 > Provider Information > Claims Filing > Claims Information

   
 

5.1.3.1 Quick Tips on Expediting Paper Claims

Using the guidelines in the Do table enhances the accuracy and timeliness of paper claims processing:

Do

Use original claim forms.

Use black ink (not a black marker).

Print claim data within the defined boxes on the claim form.

Use all capital letters.

Use a laser printer for best results.

Use paper clips on claims or appeals if they include attachments.

Detach claims at perforated lines before mailing.

Use 10x13 inch envelopes to mail claims.

Use the TMHP Standardized Medicare Remittance Advice Notice (MRAN) form, or an MRAN printed from Medicare Remit Easy Print (MREP) (professional services) or PC-Print (institutional services) when sending the Remittance Advice from Medicare.

Submit a claim form with all MRANs and R&Ss.

Place the claim form on top when sending new claims, followed by any medical records or attachments.

Number the pages appropriately when sending attachments, (e.g., 1 of 2, 2 of 2).

Indicate continuation when multiple claims for the same client.

Circle one claim per R&S report page when appealing a claim. Place the R&S report page on top of the appeal.

Use only approved standard forms.

Conversely, the items in the Do Not table delay paper claims processing:

Do Not

Use copies of claim forms.

Use red ink or highlighters.

Use dashes or slashed in date fields.

Use fonts smaller than 8 points.

Use a dot matrix printer, if possible.

Use labels, stickers or stamps.

Use glue, tape, or staples.

Fold claim forms, appeals or correspondence.

Send duplicate copies of information.

Use paper smaller or larger than 8 ½ x 11. Scan equipment will accept 8 ½ x 11 paper.

Mail claims with correspondence for other departments, this may delay claims processing.

Total each claim form when the claim is a continuation of multiple claims for the same client.

Print claim data outside of claim form field boxes.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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