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December 2016 Texas Medicaid Provider Procedures Manual

Section 6: Claims Filing : 6.5 CMS‑1500 Paper Claim Filing Instructions

CMS‑1500 Paper Claim Filing Instructions
The following providers bill for services using the ANSI ASC X12 837P 5010 electronic specifications or the CMS‑1500 paper claim form:
Case Management for Blind and Visually Impaired Children (BVIC), Case Management for Early Childhood Intervention (ECI), and Case Management for Children and Pregnant Women
Providers obtain copies of the CMS‑1500 paper claim form from a vendor of their choice; TMHP does not supply them.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.