TMPPM 2008 > Provider Information > Claims Filing > CMS-1500 Claim Filing Instructions
The following providers bill for services using the ANSI ASC X12 837P 4010A electronic specifications or the CMS-1500 claim form:
Ambulance
ASC (freestanding)
Birthing center
Case Management: blind and visually impaired children (BVIC), ECI, and Children and Pregnant Women (CPW)
Certified nurse-midwife (CNM)
Certified registered nurse anesthetist (CRNA)
Certified respiratory care practitioner (CRCP)
Chemical dependency treatment facilities
Chiropractor
Clinical nurse specialist (CNS)
Dentist (doctor of dentistry practicing as a limited physician)
DME or durable medical equipment-home health services (DMEH) supplier (CCP and home health services)
Family planning agency that does not also receive funds from Title V, X, or XX
FQHC
Genetic service agency
Hearing aid
In-home total parenteral nutrition (TPN)/hyperalimentation supplier
Laboratory
Licensed dietitian (CCP only)
Licensed clinical social worker (LCSW)
Licensed professional counselor (LPC)
Maternity service clinic (MSC)
Mental health (MH) rehabilitative services
Nurse practitioner (NP)
Occupational therapist (CCP only)
Optician/optometrist/opthamologist
Orthotic and prosthetic supplier (CCP only)
Physical therapist
Physician (group and individual)
Physician assistant (PA)
Tuberculosis clinic
Podiatrist
Private duty nurse (PDN) (CCP only)
Psychologist
Radiology
School Health and Related Services (SHARS)
Speech language pathologist (CCP only)
THSteps medical
Providers obtain copies of the CMS-1500 claim form from a vendor of their choice; TMHP does not supply them.