Form 1319 Pharmacy Claims Billing Request - Texas

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: The purpose of Form 1319 is to request billing information for pharmacy claims.

Q: Who can use Form 1319?
A: Form 1319 can be used by pharmacies in Texas.

Q: Is Form 1319 mandatory?
A: Yes, pharmacies in Texas are required to submit Form 1319 for billing pharmacy claims.

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Form Details:

  • Released on October 1, 2020;
  • 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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  • Form 1319 Pharmacy Claims Billing Request - Texas, Page 1
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