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Electronic Data Interchange (EDI)

Providers that use third-party software and third-party vendors that submit claims for providers use the TMHP EDI gateway to submit claims to TMHP.

Medicare Advantage Plan (MAP) Contractors

Last updated on 7/8/2020

HHSC has directed TMHP to allow Medicare Advantage Plan (MAPs) contractors to begin EDI testing. The MAPs must have entered into a formal agreement with HHSC to begin EDI testing. Providers must contact the MAPs for detailed information about HHSC agreements and testing statuses.

HHSC has provided TMHP with a list of HHSC-Approved MAP Contractors.