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¡Nuestro Programa Healthy Rewards tendrá su actualización en septiembre! Para ver un adelanto de todos los cambios, incluyendo nuevas recompensas y formas de canjearlas, haz clic aquí.

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New Claims Requirements Effective September 1, 2018

Date: August 20, 2018 New Claims Requirements Effective September 1, 2018 Attention:  Network Providers   Billing taxonomy Per section 6.2.1 of the TMPPM Billing providers must submit the taxonomy number on all electronic claims with the exception of Medicare primary claims. Electronic claims without a billing taxonomy will be rejected.  
Claim RequirementElectronic Claim
Billing Provider Taxonomy Code (required on all claims)2000A, PRV03
  Ordering/Referring Provider Requirement For services that require an ordering/referring provider the NPI of the ordering/referring provider must be attested. Billing providers can verify an ordering/ referring provider NPI by using the provider search tool at http://opl.tmhp.com/ProviderManager/AdvSearch.aspx.  
Claim RequirementElectronic Claim
Ordering/referring provider NPI2300, REF02
  If you have any questions, please email Provider Network Management at providerrelations@texaschildrens.org.   For more information: http://www.tmhp.com/TMHP_File_Library/FQHC/FQHC%20FAQs%20v2017.pdf   http://www.tmhp.com/Pages/ProviderEnrollment/PE_TX_Medicaid_New.aspx