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News | eBill Companion Guide | Rules | Carrier Contact Info | Waivers
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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
eBill Waiver Information
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)
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