This CBT contains information about using TexMedConnect to verify client eligibility, enter and submit claims and appeals, and find claim status.
The TexMedConnect for Long Term Care Providers CBT helps providers with:
- Logging on to TexMedConnect;
- Using the Medicaid eligibility and service authorization verification (MESAV) function;
- Entering, saving, and submitting claims and adjustments:
- Using the Claim Data Export, Claim Status Inquiry (CSI), Pending Batch, and Batch History functions; and
- Viewing Remittance and Status (R&S) Reports and Claims Identified for Potential Recoupment (CIPR) Provider Reports.
Education materials in this CBT are accurate as of publishing date. Because this CBT is updated as part of an annual production schedule, for the most current information, check the Long-Term Care (LTC) User Guide for TexMedConnect in the Reference section of this learning path. Also, updates to policy and program information can be found on the TMHP website in the current TMPPM and CSHCN Services Program Provider Manual, and web articles.
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This activity contains accessible PDFs for each module in this CBT.