Form 1319 Pharmacy Claims Billing Request - Texas

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Form 1319 Pharmacy Claims Billing Request - Texas

What Is Form 1319?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1319?
A: Form 1319 is the Pharmacy Claims Billing Request form.

Q: What is the purpose of Form 1319?
A: Form 1319 is used for billing pharmacy claims in the state of Texas.

Q: Who needs to fill out Form 1319?
A: Pharmacies in Texas need to fill out Form 1319 to request payment for prescription drugs.

Q: What information is required on Form 1319?
A: Form 1319 requires information such as the pharmacy's name, address, NPI number, prescription details, and payment amount.

Q: Are there any fees for submitting Form 1319?
A: There are no fees for submitting Form 1319.

Q: How long does it take to process Form 1319?
A: The processing time for Form 1319 may vary, but it generally takes around 30 days for payment to be processed.

Q: What should I do if there is an issue with my Form 1319 submission?
A: If there is an issue with your Form 1319 submission, you should contact the Texas Health and Human Services Commission for assistance.

Q: Can Form 1319 be submitted electronically?
A: Yes, Form 1319 can be submitted electronically through the Texas Health and Human Services Commission's electronic billing system.

Q: Can Form 1319 be used for Medicare claims?
A: No, Form 1319 is specifically for billing pharmacy claims in the state of Texas and cannot be used for Medicare claims.

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Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 1319 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1319 Pharmacy Claims Billing Request - Texas

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