The purpose of this CBT is to define an appeal, list the types of appeals, and describe how and when to submit an appeal for CSHCN program providers.
Notice: Checking or unchecking a checkbox in this filter set will change the results list immediately.
How and when to appeal a claim, and when to escalate an appeal.
This CBT discusses procedures and general guidelines for submitting paper claims. This CBT does not discuss electronic claim submission. Refer to the TexMedConnect for Acute Care Providers CBT for information regarding electronic claim submission.
The Crossover Claims CBT provides an overview of the process for submitting claims and receiving reimbursement when a client has both Medicare and Medicaid.