Texas Department of Insurance

eBill - Electronic Medical Billing

News | eBill Companion Guide | Rules | Carrier Contact Info | Waivers

eBill News

• Proposed Clarifications to the Texas eBill Companion Guide 8/08
• August 25 eBill Implementation Stakeholder Meeting
• National Provider Identification Number Requirement 5/08
• Spring 2008 eBill Stakeholder Meeting Agenda / Presentation  (PowerPoint) 04/08
• Improper Denials Based on Lack of Documentation 03/08
• Insurance Carrier Expectations for eBilling 12/07

Texas Clean Claim & eBill Workers' Compensation Companion Guide

• Chapter 1: Introduction (Word, PDF)
• Chapter 2: Clean Claim Instructions – Paper Billing Forms (Word, PDF)
• Chapter 3: Flow and Timing Diagram (Word, PDF)
• Chapter 4: Transmission Responses (Word, PDF)
• Chapter 5: Texas Workers’ Compensation Requirements (Word, PDF)
• Chapter 6: Companion Guide 837 Professional (Word, PDF)
• Chapter 7: Companion Guide 837 Institutional (Word, PDF)
• Chapter 8: Companion Guide Pharmacy (Word, PDF)
• Chapter 9: Companion Guide 837 Dental (Word, PDF)
• Chapter 10: Companion Guide 835 Payment/Remittance Advice (Word, PDF)
• Chapter 11: Companion Guide Acknowledgements (Word, PDF)
• Chapter 12: Companion Guide 275 Attachments (Word, PDF)
• Appendix A: Other Optional EDI Transactions (Word, PDF)
• Appendix B: ANSI ASC X12 Claim Adjustment Reason Codes (Word, PDF)
• Appendix C: Glossary (Word, PDF)
  
  
• Version 2.0 - Texas Clean Claim & Electronic Medical Billing & Payment Companion Guide
• Revision Tracking (Excel) 01/08 
• Health Care Provider eBill Information 05/08

Proposed Draft Revisions To Texas Clean Claim & eBill Workers' Compensation Companion Guide

• Chapter 1: Introduction (Word, PDF)
• Chapter 2: Clean Claim Instructions – Paper Billing Forms (Word, PDF)
• Chapter 3: Texas Workers’ Compensation Requirements (Word, PDF)
• Chapter 4: Companion Guide 837 Professional (Word, PDF)
• Chapter 5: Companion Guide 837 Institutional (Word, PDF)
• Chapter 6: Companion Guide Pharmacy (Word, PDF)
• Chapter 7: Companion Guide 837 Dental (Word, PDF)
• Chapter 8: Companion Guide 835 Payment/Remittance Advice (Word, PDF)
• Chapter 9: Companion Guide 275 Attachments (Word, PDF)
• Revision Tracking for Proposed Draft (Excel) 07/08 
• Draft DWC-066, Statement of Pharmacy Services (Word, PDF)

eBill Rules

Electronic Medical Billing, Reimbursement, and Documentation 
28 TAC §133.500 and §133.501 
SUBCHAPTER G.
Chapter 133. Medical Billing and Processing

    

Insurance Carrier eBill Contact Information

• Insurance Carrier eBilling Contact Information (Excel) 
• DWC Form-027 - Carrier Representative Submission form (for carrier or representative to submit required contact information)
     

eBill Waiver Information

• eBill Waiver Overview (PDF)
• eBill Waiver Request Checklist with Instructions for Health Care Providers and Insurance Carriers (PDF)
• Insurance Carrier Waiver List (PDF)
• Health Care Provider Waiver List  - not including small practices (PDF)
• For further information, please contact Bill Wells at bill.wells@tdi.state.tx.us or 512-804-5002 
  
     

Contacts for Additional Information

• Questions regarding eBill Waivers - Bill Wells at bill.wells@tdi.state.tx.us or 512-804-5002
  
• Using form DWC027 to provide insurance carrier eBill contact information or other eBill questions - TXCOMP Help Desk at txcomp.help@tdi.state.tx.us or 888-4TXCOMP (888-489-2667)

For more information contact: