TMPPM 2008 > Texas Medicaid Services > In-Home Total Parenteral (TPN)/ Hyperalimentation Supplier > Claims Information

27.4 Claims Information

In-home TPN/hyperalimentation services must be submitted to TMHP in an approved electronic format or on a CMS-1500 claim form. Providers may purchase CMS-1500 claim forms from the vendor of their choice. TMHP does not supply the forms.

When completing a CMS-1500 claim form, all required information must be included on the claim, as information is not keyed from attachments. Superbills, or itemized statements, are not accepted as claim supplements.

Refer to: "TMHP Electronic Data Interchange (EDI)" for information on electronic claims submissions.

"Claims Filing" for general information about claims filing.

"CMS-1500 Claim Filing Instructions" . Blocks that are not referenced are not required for processing by TMHP and may be left blank.

Reminder: Claims for TPN/hyperalimentation must contain the nine-character prior authorization number in Block 23. Providers must consult with their vendor for the location of this field in the electronic claims format. The prescribing physician name and provider identifier must be in Block 17 and 17a or in the appropriate field of the provider's electronic software.