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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 4: Client Eligibility : 4.13 Third Party Liability (TPL) : 4.13.4 THSteps TPR Requirements

4.13.4
THSteps medical and dental providers are not required to bill other insurance before billing Medicaid; however, if the provider is aware of other insurance, the provider should document the other insurance in the client’s medical record. TMHP processes the claim for payment, determines whether a TPR exists, and seeks reimbursement from the TPR.
TMHP processes the claim for payment, determines whether a TPR exists, and seeks payment from the TPR.
Refer to:
Subsection 4.5.2, “Third Party Resources (TPR)” in the Children’s Services Handbook (Vol. 2, Provider Handbooks) for more information.

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