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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 6: Claims Filing : 6.5 CMS‑1500 Paper Claim Filing Instructions : 6.5.1 CMS‑1500 Electronic Billing

CMS‑1500 Electronic Billing
Electronic billers must submit CMS‑1500 paper claim forms with TexMedConnect or approved vendor software that uses the ANSI ASC X12 837P 5010 format. Specifications are available to providers developing in-house systems, software developers, and vendors on the TMHP website at Because each software developer is different, location of fields may vary. Contact the software developer or vendor for this information. Direct questions and development requirements to the TMHP EDI Help Desk at 1‑888‑863‑3638.
Refer to:
Subsection 3.2, “Electronic Billing” in Section 3, “TMHP Electronic Data Interchange (EDI)” (Vol. 1, General Information) for information about electronic billing.

Texas Medicaid & Healthcare Partnership
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