Common use of Claim Forms Clause in Contracts

Claim Forms. HMO must require all THSteps providers to submit claims for services paid (either on a capitated or fee-for service basis) on the HCFA 1500 claim form and use the unique procedure coding required by TDH.

Appears in 4 contracts

Sources: Contract for Services (Amerigroup Corp), Contract for Services (Amerigroup Corp), Contract for Services (Centene Corp)

Claim Forms. HMO must require all THSteps providers to submit claims for services paid (either on a capitated or fee-for service basis) on the HCFA 1500 claim form and use the unique procedure coding required by TDHHHSC.

Appears in 2 contracts

Sources: Contract for Services (Amerigroup Corp), Contract for Services (Amerigroup Corp)