35.3 Claims InformationSubmit services provided by an independently practicing physical therapist to TMHP in an approved electronic format or on a CMS-1500 paper claim form. Providers may purchase CMS-1500 claim forms from the vendor of their choice. TMHP does not supply the forms. Claims may be filed electronically in a CMS-1500 format as long as the nine-digit prior authorization number is reflected in the equivalent electronic field. 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. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved. |
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