The Claim Appeals CBT contains information for Medicaid providers regarding policies and procedures for claim appeals and includes the following modules:

  • Claim Appeals Introduction
  • Claim Appeals Overview
  • Managed Care Organization Appeals
  • Appeal Levels
  • Appeal Methods
  • Electronic Appeals
  • Automated Inquiry System
  • Paper Appeals
  • Medical Necessity Appeals

Updates to programs, policies, and procedures discussed in this activity can be found on the TMHP website in the most currently published provider manuals, web articles, and banner messages.