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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 3: TMHP Electronic Data Interchange (EDI)

Section 3: TMHP Electronic Data Interchange (EDI)
3.1 TMHP EDI Overview 3-2
3.1.1 Advantages of Electronic Services 3-2
3.1.2 Electronic Services Available 3-2
3.1.3 Paper Remittance and Status (R&S) Reports No Longer Available 3-2
3.2 Electronic Billing 3-3
3.2.1 TexMedConnect 3-3
3.2.2 Vendor Software 3-3
3.2.3 Third Party Billing Agents 3-3
3.3 Gaining Access 3-4
3.4 Training 3-4
3.5 Electronic Transmission Reports 3-4
3.6 Provider Check Amounts Available Online 3-4
3.7 Third Party Vendor Implementation 3-5
3.7.1 Automated Maintenance Process for All Electronic Submitters 3-5
3.7.2 Supported File Types 3-5
3.8 Forms 3-6
3.1 Electronic Remittance and Status (ER&S) Agreement (2 pages) 3-7
3.2 Claim Status Inquiry (CSI) Authorization Form 3-9

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.