Texas Healthcare Provider Claims Database

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Texas All-Payor Claims Database - Center for Health Care Data

(7 days ago) WEBIn September 2021, House Bill (HB) 2090, a health cost transparency law passed in the 87th Legislative session, established the Texas All-Payor Claims Database (TX-APCD) …

https://sph.uth.edu/research/centers/center-for-health-care-data/texas-all-payor-claims-database/

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Information on Implementation of HB 2090 - Texas Department of …

(4 days ago) WEBAll-Payor Claims Database. TDI has adopted a rule related to the creation of All-Payor Claims Database (APCD), as added by Section 1 of House Bill 2090, 87th …

https://www.tdi.texas.gov/health/hb2090.html

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Home [txapcd.org]

(9 days ago) WEBAll-Payor Claims Database Portal. Texas has a voluntary claims data collection effort through the UTHealth Houston School of Public Health Center for Health Care Data, …

https://txapcd.org/

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CHS Data Sets and Reports Texas DSHS

(3 days ago) WEBHospital Discharge Inpatient Data - All-payer claims data (includes Self-pay and uninsured) for all Texas hospital discharges (excludes Rural hospitals until 2015) are submitted …

https://www.dshs.texas.gov/center-health-statistics/chs-data-sets-reports

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Texas State Action The Source on Healthcare Price & Competition

(4 days ago) WEBThe medical and pharmacy claims collected from the voluntary effort account for 65% of the Texas population. In the 2021 session, the state finally passed a law to establish a …

https://sourceonhealthcare.org/states/texas/

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An All Payor Claims Database Can Help Control …

(1 days ago) WEBOut of control health care costs are neither new – nor are they unique to Texas. According to the Texas Comptroller’s office, in 2015 Texas spent “43.1 percent of all its appropriations from state, federal …

https://texas2036.org/posts/an-all-payor-claims-database-can-help-control-healthcare-costs/

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Medicaid and CHIP Claims Texas Health and Human Services

(4 days ago) WEBTexas Medicaid & Healthcare Partnership (TMHP) processes claims for Medicaid services provided in the traditional, fee-for-service system. TMHP does not process claims for …

https://www.hhs.texas.gov/providers/medicaid-business-resources/medicaid-chip-claims

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All-Payer Claims Databases Agency for Healthcare Research and …

(1 days ago) WEBAll-payer claims databases (APCDs) are large State databases that include medical claims, pharmacy claims, dental claims, and eligibility and provider files collected from …

https://www.ahrq.gov/data/apcd/index.html

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Health Care Providers Texas Mutual

(8 days ago) WEBClaim Status & EOB Search. Provider FAQs. Provider Training Videos . Out-of-Network Texas law requires most health care providers to submit their bills to insurance …

https://www.texasmutual.com/providers/

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Welcome Texas Medicaid Providers TMHP

(1 days ago) WEBWelcome Texas Medicaid Providers. The Texas Medicaid & Healthcare Partnership provides the resources to help providers succeed with their Medicaid practice

https://www.tmhp.com/

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TMHP - Provider Search

(Just Now) WEBSearch Providers Search by NPI Clear Search * Required Field. Provider Options. If you are in Managed Care, please go to your health plan's provider list or call your …

http://opl.tmhp.com/

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TXCOMP Claims and Coverage Systems - Texas Department of …

(Just Now) WEBReport a work-related injury (injured employees) Verify an employer’s workers’ compensation coverage. Locate a workers’ compensation insurance carrier's contact …

https://www.tdi.texas.gov/wc/txcomp.html

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Claims and Eligibility Blue Cross and Blue Shield of Texas

(9 days ago) WEBEligibility and Benefits Inquiry (HIPAA 270/271) Utilize the online tools in order to quickly and efficiently check eligibility and benefits for every patient at every visit. Using the …

https://www.bcbstx.com/provider/claims/

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Search Providers Texas Health and Human Services

(5 days ago) WEBSearch Providers English; Español; Search Providers. Popular Providers Pages. ALF; CCR; CCR Login ; Long-term Care As defined by Texas Health and Safety Code …

https://www.hhs.texas.gov/providers

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Health care claims data required from health plans

(4 days ago) WEBFull schedule of official CPT, HCPCS, and ANE procedure codes. Other data elements as needed to validate the accuracy of the data. Data contributors can get …

https://www.tdi.texas.gov/medical-billing/benchmarking-data.html

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KHC Provider Manual - Texas Health and Human Services

(9 days ago) WEBFor provider enrollment information, contact Texas Medicaid & Healthcare Partnership (TMHP) at 800-925-9126 or [email protected] , Monday through Friday …

https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/health-services-providers/khc/khc-provider-manual.pdf

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For Providers Texas Children's Health Plan

(Just Now) WEBThese Provider Advisory Groups provide recommendations to Texas Children’s Health Plan in the following areas: Opportunities for connecting network Providers and …

https://www.texaschildrenshealthplan.org/providers

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Texas Providers Home - Molina Healthcare

(4 days ago) WEBIf you have any questions, or if you are not currently a Molina provider, but are interested in contracting with us, please call Molina Texas Provider Services at (855) 322-4080. You …

https://www.molinahealthcare.com/providers/tx/medicaid/home.aspx

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Contact us UHCprovider.com

(6 days ago) WEBHealth plan support UnitedHealthcare Community Plan 1 East Washington, Suite 900 Phoenix, AZ 85004. Community Plan Claims & medical records P.O. Box …

https://www.uhcprovider.com/en/contact-us.html

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Section 52.121 - Claims Payment, 26 Tex. Admin. Code - Casetext

(1 days ago) WEB26 Tex. Admin. Code § 52.121. (a) HHSC pays a contractor for a claim for services that meets the requirements described in subsection (b) of this section. (1) for a …

https://casetext.com/regulation/texas-administrative-code/title-26-health-and-human-services/part-1-health-and-human-services-commission/chapter-52-contracting-for-community-services/subchapter-c-effective-4292024-requirements-of-a-contractor/section-52121-claims-payment

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PE firm Welsh Carson dodges FTC case over U.S. Anesthesia …

(Just Now) WEBThe Federal Trade Commission can pursue its claims that U.S. Anesthesia Partners' serial acquisitions of practices in Texas violated antitrust law, a federal judge …

https://www.reuters.com/legal/government/pe-firm-welsh-carson-dodges-ftc-case-over-us-anesthesia-partners-acquisitions-2024-05-14/

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Cyberattack disrupts operations at major US health care network

(6 days ago) WEBA new report claims 75-hour weeks are still common. Health care providers across the US have suffered numerous ransomware attacks in recent years, …

https://www.cnn.com/2024/05/08/tech/cyberattack-disrupts-healthcare-network/index.html

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Texas top court rules mother can't collect damages over unwanted

(6 days ago) WEBTexas' highest court on Friday limited women's ability to obtain monetary damages from medical providers whose alleged negligence led them to have unwanted …

https://www.reuters.com/legal/litigation/texas-top-court-rules-mother-cant-collect-damages-over-unwanted-pregnancy-2024-05-10/

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6100, Billing Requirements Texas Health and Human Services

(5 days ago) WEBTo obtain information on the electronic billing systems, call TMHP at 1-800-626-4117, press 1, or write to: Texas Medicaid and Healthcare Partnership. P.O. Box 200105. Austin, …

https://www.hhs.texas.gov/handbooks/emergency-response-services-provider-manual/6100-billing-requirements

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Center for Health Care Data - UTHealth School of Public Health

(5 days ago) WEBImproving Health through Data. At the Center for Health Care Data (CHCD), our mission is to make health data accessible, accurate, and actionable for Texas and beyond. We …

https://sph.uth.edu/research/centers/center-for-health-care-data/

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Increasing Organ Transplant Access (IOTA) Model CMS

(4 days ago) WEBThe proposed Increasing Organ Transplant Access Model aims to increase access to life-saving transplants for patients living with kidney disease and reduce …

https://www.cms.gov/priorities/innovation/innovation-models/iota

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Assessment of Claimant, Clinical, and Financial Characteristics of

(2 days ago) WEBThis retrospective analysis, co-authored by CRICO data experts, was published in Radiology on April 2, 2024.CRICO’s national Candello database of medical …

https://www.rmf.harvard.edu/News-and-Blog/In-the-News-Home/In-the-News/2024/April/Assessment-of-Claimant-Clinical-Financial-Characteristics-of-Teleradiology-Medical-Malpractice-Cases

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Federal Register :: Medicaid Program; Medicaid and Children's …

(1 days ago) WEBStrategies to enhance access to health care services should reflect how people move through and interact with the health care system. We view the continuum …

https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance

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CMS Updates State Operations Manual Chapter 10 - Texas Health …

(2 days ago) WEBThe Centers for Medicare and Medicaid Services (CMS) has issued QSO-24-11-HHA & Hospice (PDF).. This memo informs home health and hospice agencies …

https://www.hhs.texas.gov/provider-news/2024/05/10/cms-updates-state-operations-manual-chapter-10-hospice-included-informal-dispute-resolution

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Broken teeth and infected gums: 46K claims filed so far with …

(5 days ago) WEBThe public plan eventually will provide dental coverage for one in four low- and middle-income Canadian residents who don't have private dental coverage. As of May 1, …

https://www.cbc.ca/news/politics/canadian-dental-care-plan-claims-processed-1.7200738

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Federal Register :: Clarifying the Eligibility of Deferred Action for

(Just Now) WEBStart Preamble Start Printed Page 39392 AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). ACTION: …

https://www.federalregister.gov/documents/2024/05/08/2024-09661/clarifying-the-eligibility-of-deferred-action-for-childhood-arrivals-daca-recipients-and-certain

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