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Texas Medicaid Network

Provider Implementation

Getting Started...

Electronic Funds Transfer (EFT) does not require software and you can enroll today. Instructions for ordering EFT enrollment forms are listed under the Ordering Forms section below.

The First Step

An Electronic Claims Submission (ECS) agreement must be on file for each billing provider number before you begin electronic submission of claims. If you do not have an ECS agreement on file for each billing provider number with NHIC, instructions for ordering the ECS agreement are listed under the Ordering Forms section below. If you are currently using a vendor, contact your vendor to find out their status of interfacing with TexMedNet. Ask your vendor if they are making changes to their system for TexMedNet and when you will received an upgrade. If your vendor is not aware of the changes, share a copy of this document with them.

The Second Step

If you are a paper biller with a processed ECS agreement on file determine whether you will be using a vendor or TDHconnect. Vendors generally give different levels of support depending on your needs and often supply a medical management system to further enhance office operations. They also address both commercial and government claims. Directions on requesting a listing of vendors who are testing or have implemented TexMedNet are outlined below. This listing will be available during TexMedNet implementation.

TDHconnect, a windows based software, is also available for Texas Medicaid and CIDC claims processing. Directions on requesting the TDHconnect Order Form are outlined below.

The Final Step

If you establish a vendor, they will guide you through implementation. If they have distributed software to you, you will generally need a TexMedNet ID. Directions on requesting a TexMedNet User ID are outlined below.

If requesting TDHconnect, a quick reference guide will be sent with the TDHconnect software to guide you through installation. A manual is built into TDHconnect that will instruct you on use.

Ordering Forms

The Electronic Funds Transfer form can be requested by faxing the following to 1 (512) 514-4228:

  • EFT Enrollment Form
  • Organization Name
  • Contact Name
  • Address
  • Contact Phone Number
  • Contact Fax Number

The Electronic Remittance and Status Report form and ECS Agreement can be requested by faxing the following to 1 (512) 514-4228. Indicate the form you are requesting, then list your:

  • Organization Name
  • Contact Name
  • Fax Number
  • Address
  • Contact Phone Number
  • Number of Billing Provider Numbers
  • Provider Number

To request the Vendor List, TDHconnect Order Form or a TexMedNet User ID Form fax the following information to 1 (512) 514-4228:

  • Name of the form or report your are requesting
  • Organization Name
  • Contact Name
  • Contact Phone Number
  • Fax Number

 



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