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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 6: Claims Filing : 6.1 Claims Information : 6.1.4 Claims Filing Deadlines : 6.1.4.3 Appeal Time Limits

6.1.4.3
Appeal Time Limits
All appeals of denied claims and requests for adjustments on paid claims must be received by TMHP within 120 days from the date of disposition, the date of the R&S Report on which that claim appears. If the 120‑day appeal deadline falls on a weekend or holiday, the deadline will be extended to the next business day.
Refer to:
Hospitals appealing final technical denials, admission denials, DRG changes, continued-stay denials, or cost/day outlier denials refer to Section 7: Appeals (Vol. 1, General Information) for complete appeal information.

Texas Medicaid & Healthcare Partnership
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