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December 2016 Texas Medicaid Provider Procedures Manual

Section 6: Claims Filing : 6.11 Remittance and Status (R&S) Report : 6.11.5 R&S Report Examples

Examples of R&S Reports are available on the TMHP website at
Accounts Receivables R&S Report
(For purposes of example, accounts receivables, void, and stop pay appear together.)

Texas Medicaid & Healthcare Partnership
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