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You are here: www.tdi.texas.gov . hprovider . payors

Managed Care Payor Resource Page

Commissioner Bulletins

Rules

Technical Advisory Committee

Education

  • "Finding Your Way to Prompt Pay" (MS PowerPoint slide show) | zip | pdf
  • Self Funded ERISA vs. Fully funded Identification on cards | pdf
  • Submission, Timelines and Prompt Pay of Clean Claims (SB 418 and HB 610 comparison) | pdf
  • Provider Contracting Requirements | pdf
  • Verification and Preauthorization Procedures | pdf
  • Verification Requirements | pdf
  • CMS 1500 - Texas Clean Claims Elements
  • UB 04 - Texas Clean Claims Elements
  • SB 418 Provisions for HMOs | pdf
  • SB 418 Provisions for PPOs | pdf
  • SB 418 FAQs
  • HB 610 Prompt Pay FAQs
  • HB 610 Claims Payment FAQs

Enforcement

For more payor information, click on the links below:



For more information contact:

Last updated: 10/19/2015

Contact Information and Other Helpful Links


Translation by WorldLingo


Translation by WorldLingo