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HHSC Publishes Institutional Claim, Attending Provider’s NPI (IL 2021-56)

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The Texas Health and Human Services Commission (HHSC) has published the IL 2021-56 Institutional Claim, Attending Provider’s NPI. This reviews changes to Long-term Care Institutional Claims. Changes include:

  • An Institutional Claim-Provider tab.
  • Inserted edits to the Institutional Claim-Details tab in the Texas Medicaid & Healthcare Partnership claim submission portal, TexMedConnect, and claims management system.
  • Edits to ensure attending provider’s national provider identifier does not match the billing provider NPI.

Providers must enter valid attending provider NPIs and names on submitted claims to prevent rejection. Enter the attending provider’s name into the attending provider field. Claims will be rejected if abbreviations or facility NPIs or names are entered.

Email questions to ICFIID.