TMPPM 2010 > Volume 1, General Information > Section 6: Claims Filing > Remittance and Status (R&S) Report > Banner Pages

   
 

6.11.2 Banner Pages

Banner pages serve two purposes. First, they print the provider's name and address in a location that appears in the window of the envelope. Second, they are used to inform providers of new policies and procedures. The title pages include the following information:

TMHP address for submitting paper appeals

Provider's name, address, and telephone number

Unique R&S Report number specific to each report

Provider identifier (TPI, NPI, and atypical provider identifier [API])

Report sequence number (indicates the week number of the year)

Date of the week being reported on the R&S Report

Tax Identification Number

Page number (R&S Report begins with page 1)

AIS telephone number

Taxonomy code


Texas Medicaid & Healthcare Partnership
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