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2012 Texas Medicaid Provider Procedures Manual

Ambulance Services Handbook : 2. Ambulance Services : 2.5 Claims Resources

2.5 Claims Resources
Providers may refer to the following sections or forms when filing claims:
Appendix D (Vol. 1, General Information)
Ambulance 1 Claim Form Example
Form AM. 2 in this handbook
Ambulance 2 Claim Form Example
Form AM. 3 in this handbook
Ambulance 3 Claim Form Example
Form AM. 4 in this handbook
TMHP Telephone and Fax Communication (Vol. 1, General Information)
Subsection 6.5 in Section 6, “Claims Filing” (Vol. 1, General Information)
Appendix A (Vol. 1, General Information)
Section 3 (Vol. 1, General Information)

Texas Medicaid & Healthcare Partnership
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