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December 2016 Texas Medicaid Provider Procedures Manual

Women’s Health Services Handbook : 3 Health and Human Services Commission (HHSC) Family Planning Program Services : 3.4 Claims Filing and Reimbursement : 3.4.1 Claims Information : Filing Deadlines
The following table summarizes the filing deadlines for HHSC Family Planning Program claims:
95 days from the date of service on the claim or date of any third party insurance explanation of benefits (EOB)
120 days from the date of the Remittance and Status (R&S) Report on which the claim reached a finalized status
As stated in the HHSC Family Planning Policy and Procedure Manual, all claims and appeals must be submitted and processed within 60 days after the end of the contract period.

Texas Medicaid & Healthcare Partnership
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