(a) Health care providers shall submit medical bills for payment:
- (1) on standard forms used by the Centers for Medicare and Medicaid Services (CMS);
- (2) on applicable forms prescribed for pharmacists and dentists specified in subsections (b) and (c) of this section; or
- (3) in electronic format in accordance with Subchapter F of this chapter (relating to Electronic Medical Billing, Reimbursement, and Documentation).
- (b) Pharmacists and pharmacy processing agents shall submit bills using the current National Council for Prescription Drug Programs (NCPDP) Universal Claim Form (UCF) for health care provided on or after January 1, 2007. Pharmacists and pharmacy processing agents shall use the Division form DWC-66 for health care provided on or before December 31, 2006.
- (c) Dentists shall submit bills using the current American Dental Association claim form.
- (d) All information submitted on required billing forms must be legible and completed in accordance with Division instructions.
Source Note:The provisions of this §133.10 adopted to be effective May 2, 2006, 31 TexReg 3544.