Paper appeals may be submitted for TPI-only claims on or after May 23, 2008, only for claims with at least one detail that indicates a paid status. TPI-only claims on which all details have been denied cannot be appealed on or after May 23, 2008. Paper appeals for claims on which all details have been denied must be submitted with both a TPI and NPI for billing and performing providers. All other provider fields on the claim forms (referring, facility, admitting, other A, and operating) require only an NPI.

Providers that choose to appeal the claim with NPI information must continue submitting both a TPI and an NPI until the claim is finalized.

For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP CSHCN Services Program Contact Center at 1-800-568-2413.