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2012 Texas Medicaid Provider Procedures Manual

Gynecological and Reproductive Health and Family Planning Services Handbook : 4. Department of State Health Services (DSHS) Family Planning Program Services : 4.4 Claims Filing and Reimbursement : 4.4.1 Claims Information : 4.4.1.1 Filing Deadlines

4.4.1.1
The following table summarizes the filing deadlines for DSHS Family Planning Program claims:
95 days from the date of service on the claim or date of any third party insurance explanation of benefits (EOB)
120 days from the date of the Remittance and Status (R&S) Report on which the claim reached a finalized status
Note:
As stated in the DSHS Family Planning Policy and Procedure Manual, all claims and appeals must be submitted and processed within 60 days after the end of the contract period.

Texas Medicaid & Healthcare Partnership
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