TMHP cannot process telephone appeals without a National Provider Identifier (NPI). Telephone appeals require an NPI for all provider identifier fields (e.g., billing, performing, referring, facility, admitting, operating, and other). The NPI requirement includes claims that were previously processed using a Texas Provider Identifier (TPI).

TMHP will also require the TPI for telephone appeals related to changes in the billing or performing provider identifiers,. Telephone appeals follow the same process as electronic appeals; however, additional information (such as the TPI) may be requested to ensure appropriate claims processing.

For more information, call the TMHP Contact Center at 1-800-925-9126.