TMHP Electronic Billing

TMHP Electronic Billing Setting up Access, Training

TMHP Electronic Billing all software vendors and billing agents to complete EDI testing before access to the production server is allowed. Providers must setup their software or billing agent services to access the TMHP EDI Gateway. Providers who use billing agents or software vendors should contact those organizations for information on installation, settings, maintenance, and their processes and procedures for exchanging electronic data.

Providers who use TDHconnect may use the TDHconnect Quick Start Guide that accompanies the software. After TDHconnect is installed, providers can access the help manual built into TDHconnect by clicking on the Help button and selecting Contents and Index. Providers who use TDHconnect or vendor software must also request a submitter ID. A submitter ID is necessary for all of TMHP’s electronic services. It serves as an electronic mailbox for the provider and TMHP to exchange data files. Providers who use a billing agent do not need a submitter ID.

Providers should contact their TMHP provider relations representative or attend one of the training workshops provided by TMHP Provider Relations to receive training for TDHconnect or other billing issues.

Request for Electronic Transmission Reports

Providers are required to retain all claim and electronic file transmission records. Providers must verify that all claims submitted to the CSHCN Services Program or its agent are received and accepted. Additionally, providers must also track claims transmissions against claims payments to detect and correct all claim errors.

When an electronic file transmission record is missing, providers can request a copy of the transmission report(s) by contacting the TMHP EDI Help Desk and requesting that the electronic transmission report files be reset. The TMHP EDI Help Desk will then reset the files for the production submitter ID provided. Requests for transmission reports produced in the previous 30 days are provided at no cost to the providers. Requests for transmission reports produced more than 30 days before the request results in a charge of $500 plus 8.25 percent sales tax of $41.25 for a total charge of $541.25. Providers that hold a tax-exempt certificate are not assessed the 8.25 percent sales tax. This cost is per transmission report.

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