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December 2016 Texas Medicaid Provider Procedures Manual

Inpatient and Outpatient Hospital Services Handbook : 4 Outpatient Hospital (Medical and Surgical Acute Care Outpatient Facility) : 4.5 Claims Filing and Reimbursement : 4.5.6 Third Party Liability

Refer to:
“Section 8: Third Party Liability (TPL)” (Vol. 1, General Information).
Other Insurance Form on the TMHP website at
Tort Response Form on the TMHP website at

Texas Medicaid & Healthcare Partnership
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