O.5.2.2 Claims AppealsAn appeal is a request for reconsideration of a previously dispositioned claim. Providers may use two methods to appeal WHP claims to TMHP: electronic or paper. TMHP must receive all appeals of denied claims and requests for adjustments on paid claims within 120 days from the date of disposition of the R&S on which that claim appears. If the 120-day appeal deadline falls on a weekend or holiday, the deadline is extended to the next business day. Refer to: "Appeals" for more information. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved. |
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