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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 4: Client Eligibility : 4.13 Third Party Liability (TPL) : 4.13.1 Your Texas Benefits Medicaid Card

Client TPR and other insurance information may be verified using the Your Texas Benefits Medicaid card website at
To ensure receipt of TPR disposition of payment or denial, providers must obtain an assignment of insurance benefits from the client at the time of service. Providers are asked not to provide claim copies or statements to the client.
Providers that are aware that a client has other health insurance that is not indicated on the Your Texas Benefit Medicaid card website must notify TMHP of the details concerning the type of policy and scope of benefits.
Providers can notify TMHP by calling TPR at 1-800-846-7307, Option 2, sending a fax to (512) 514‑4225, or submitting Form 4.4, “Other Insurance Form” to the following address:
Texas Medicaid & Healthcare Partnership
Third Party Resources Unit
PO Box 202948
Austin, TX 78720-2948

Texas Medicaid & Healthcare Partnership
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