TMPPM 2010 > Volume 1, General Information > Section 6: Claims Filing > Other Insurance Claims Filing


6.12 Other Insurance Claims Filing

The following information must be provided in the "Other Insurance" field on the paper claim and in the appropriate field of electronic claims. On the CMS-1500 paper claim form, Fields 9 or 11, and 29 must contain the appropriate information:

Name of the other insurance resource

Address of the other insurance resource

Policy number and group number


Effective date if available

Date of disposition by other insurance resource (used to calculate filing deadline)

Payment or specific denial information

Important: Important: By accepting assignment on a claim for which the client has Medicaid coverage, providers agree to accept payment made by insurance carriers and Texas Medicaid when appropriate as payment in full. The client cannot be held liable for any balance or copays related to Medicaid-covered services.

Texas Medicaid & Healthcare Partnership
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