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System Upgrade to the Claims Engine and Long Term Care (LTC) Systems
Information posted August 19, 2009: TMHP will perform a system upgrade to the claims engine and Long Term Care (LTC) systems on Thursday, August 27, 2009, from 7:00 p.m. until midnight and on Friday August 28, 2009, from 7:00 p.m. until midnight. During the system upgrade window, some applications will be unavailable for both Acute Care and Long Term Care systems. Click on the title to view the details.

Specific details about the affected applications are listed below:

Batch claims and batch claims status inquiries (CSIs) may be submitted during the maintenance period.

The following functions will be unavailable during the upgrade period for both Acute Care and Long Term Care systems:

·         Thursday, August 27, 2009 7:00 pm until midnight

o        Online fee schedules

o        Care forms (Long Term Care)

 

·         Friday, August 28, 2009 7:00 pm until midnight

o        Claims status inquiry through the Automated Inquiry System (AIS), the TMHP website, TexMedConnect, or electronic data interchange (EDI)

o        Interactive eligibility verification through AIS, the TMHP website, TexMedConnect, or EDI

o        Interactive claims submission through TexMedConnect or EDI

o        Online provider lookup

o        Provider enrollment on the portal

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