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December 2016 Texas Medicaid Provider Procedures Manual

Section 8: Third Party Liability (TPL) : 8.8 Other Insurance Claims Filing : 8.8.2 Other Insurance Credits : 8.8.2.1 Deductibles

8.8.2.1
TMHP will consider deductibles for reimbursement when the original third party payor applied the payment amount directly to the client’s deductible. The explanation of benefit reflecting the application of the payment by the other insurance (third party payor) and a completed signed claim copy must be submitted to TMHP for consideration.

Texas Medicaid & Healthcare Partnership
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