TMPPM 2008 > Texas Medicaid Services > Federally Qualified Health Center (FQHC) > Claims Information

   
 

21.4.1 Claim Filing Resources

Refer to the following sections and/or forms when filing claims:

Resource
Page Number

Automated Inquiry System (AIS)

vii

TMHP Electronic Data Interchange (EDI)

3-1

CMS-1500 Claim Filing Instructions

5-22

UB-04 CMS-1450 Claim Filing Instructions

5-30

Dental (ADA) Claim Filing Instructions

5-43

TMHP Electronic Claims Submission

5-13

Communication Guide

A-1

Federally Qualified Health Center Report (Newborn Child or Children) Form 7484

B-40

FQHC Encounter (T1015) Claim Example

D-14

FQHC Follow-Up Claim Example

D-14

Acronym Dictionary

F-1


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