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December 2016 Texas Medicaid Provider Procedures Manual

Section 3: TMHP Electronic Data Interchange (EDI) : 3.1 TMHP EDI Overview : 3.1.1 Advantages of Electronic Services

It’s fast. No more waiting by the mailbox or telephone inquiries; know what’s happening to claims in less than 24 hours and receive reimbursement for approved claims within a week. TexMedConnect users can submit individual requests interactively and receive a response immediately.
It’s free. All electronic services offered by TMHP are free, including TexMedConnect and its technical support and training.
It’s easy. TMHP offers computer-based training (CBT) for TexMedConnect, Medicaid billing, and many other topics, including those for the Children with Special Health Care Needs (CSHCN) Services Program, and Long Term Care, as well as a large library of reference materials and manuals on
It’s safe. TMHP EDI services use VPN and SSL connections, just like the United States government, banks, and other financial institutions, for maximum security.
It’s accurate. TexMedConnect and most vendor software programs have features that let providers know when they’ve made a mistake, which means fewer rejected and denied claims. Rejected claims are returned with messages that explain what’s wrong, so the claim can be corrected and resubmitted right away. Denied claims appear on the provider’s Remittance and Status (R&S) Report along with paid and pending claims.
It’s there when it’s needed. Electronic services are available day and night; from home, the office, or anywhere in the world.
It makes record keeping and research easy. Not only can TexMedConnect be used to send and receive claims, it can check client eligibility, retrieve Electronic Remittance and Status (ER&S) Reports, perform claim status inquiries, and archive claims. TexMedConnect can generate and print reports on everything it sends, receives, and archives.

Texas Medicaid & Healthcare Partnership
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