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

   
 

6.11.4.3.4 Payouts

Payouts are dollars TMHP owes to the provider. TMHP processes two types of payouts: system payouts that increase the weekly check amount and manual payouts that result in a separate check being sent to the provider. Specific claim data are not given on the R&S Report for payouts. A control number is given, which should be referenced when corresponding with TMHP. System and manual payouts appear on the R&S Report in the following format:

Payout Control Number. A control number to reference when corresponding with TMHP.

Payout Amount. The amount of the payout.

FYE. The fiscal year for which the payout is applicable.

EOB. Corresponds to the reason code assigned.

Patient Name. Name of the patient (if available).

PCN. Medicaid number of the patient (if available).

DOS. Date of service (if available).


Texas Medicaid & Healthcare Partnership
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