Forms & publications
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Telemedicine Billing Guide (2024-04-01)
Telemedicine Billing Guide (2024-06-06)
Telemedicine Billing Guide (2024-07-01)
Telemedicine Billing Guide (2025-01-01)
Tips for successful completion of MSS extension request
Tooth chart
Use this chart to indicated where treatment is required.
Tracking log
unit tracking log
Trading Partner Agreement (18-0009)
This Agreement sets forth the terms and conditions which govern all Electronic Data Interchange (EDI) communications between the parties by electronic transactions in agreed-upon formats as a means of accomplishing their business objectives for the mutual benefit of the Parties and compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Transhealth billing guide (2023-01-01)
New BG