9.4 Claims InformationFreestanding ASC claims must be submitted to TMHP in an approved electronic claims format or on a CMS-1500 paper claim form. Providers must purchase CMS-1500 claim forms from the vendor of their choice. TMHP does not supply them. Information on the performing surgeon must be supplied in Block 17 of the CMS-1500 claim form for the claim to be processed. Hospital-based ASCs file a UB-04 CMS-1450. ASCs that wish to bill for nurse anesthetists' services must enroll as a nurse anesthetist group provider and indicate the CRNA performing provider identifier on claims for those services. Refer to: "Certified Registered Nurse Anesthetist (CRNA)" for specific billing instructions for CRNA services. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved. |
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