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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 6: Claims Filing : 6.13 Medicare Claims : 6.13.5 Paper Crossovers : Filing a Medicare-Adjusted Claim
Providers may also submit Medicare-adjusted claims by submitting the adjusted Medicare RA/RNs (paper or electronic) and the appropriate TMHP MRAN/MAP template. The information on the Medicare RA/RN must exactly match the information submitted on the TMHP MRAN template.
Refer to:
Subsection 3.7.1, “Medicaid Relationship to Medicare” in Inpatient and Outpatient Hospital Services Handbook (Vol. 2, Provider Handbooks) for additional information on hospital Medicare claims filing requirements.

Texas Medicaid & Healthcare Partnership
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