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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 6: Claims Filing : 6.6 UB-04 CMS-1450 Paper Claim Filing Instructions : 6.6.1 UB-04 CMS-1450 Electronic Billing

Electronic billers must submit UB-04 CMS-1450 claims with TexMedConnect or approved vendor software that uses the ANSI ASC X12 837I 5010 format. Specifications are available to providers developing in-house systems and software developers and vendors. Because each software package is different, field locations 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 more information about electronic billing.

Texas Medicaid & Healthcare Partnership
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