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Education Resources

Additional Information

  • Companies with Approved Forms Utilizing PPO Contract Provisions
  • Self Funded ERISA vs. Fully funded Identification on cards | PDF | MS Word (zipped)
  • Submission, Timelines and Prompt Pay of Clean Claims (SB 418 and HB 610 comparison) | PDF | MS Word (zipped)
  • Provider Contracting Requirements | PDF | MS Word (zipped)
  • Verification and Preauthorization Procedures | PDF | MS Word (zipped)
  • Verification Requirements | PDF | MS Word (zipped)
  • CMS 1500 - Texas Clean Claims Elements | PDF | MS Word (zipped)
  • UB 04 - Texas Clean Claims Elements | PDF | MS Word (zipped)
  • SB 418 Provisions for HMOs | PDF | MS Word (zipped)
  • SB 418 Provisions for PPOs | PDF | MS Word (zipped)
  • HB 610 FAQs
  • HB 610 Claims Payment FAQs

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Last updated: 09/06/2014

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