Section 4 - Claim Processing

Electronic Claim Processing

  • Step-by-step instructions for generating and submitting electronic claims through TCXMED.

  • Includes upload procedures for submission via Office Ally.

Paper Claim Processing

  • Instructions for processing and printing CMS-1500 paper claim forms from TCXMED for mailing.

Force-to-Paper (Electronic to Paper)

  • How to print a CMS-1500 paper claim for a charge that is normally submitted electronically.

Electronic Claim Processing to DDD (Diversified Data Design)

  • Instructions for submitting electronic claims specifically to DDD for St. Mary claims.

Secondary Electronic Claim Processing

  • Steps for submitting secondary claims electronically, including coordination with Office Ally.