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2012 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 5. THSteps Medical : 5.5 Claims Filing and Reimbursement

5.5 Claims Filing and Reimbursement
Providers may refer to Volume 1 for general information about claims filing and reimbursement.
Refer to:
Section 3: TMHP Electronic Data Interchange (EDI) (Vol. 1, General Information) for information on electronic claims submissions.
Section 6: Claims Filing (Vol. 1, General Information) for general information about claims filing.
Subsection 6.6, “UB-04 CMS-1450 Paper Claim Filing Instructions” in Section 6, “Claims Filing” (Vol. 1, General Information) for instructions on completing paper claims.
Section 6: Claims Filing (Vol. 1, General Information) for paper claims completion instructions.
Section 2: Texas Medicaid Fee-for-Service Reimbursement (Vol. 1, General Information) for more information about reimbursement.
Subsection 2.2, “Fee-for-Service Reimbursement Methodology” in Section 2, “Texas Medicaid Fee-for-Service Reimbursement” (Vol. 1, General Information) for more information.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.