Texas

Medicare Administrative Contractor (A/B MAC)

Trailblazer Health Enterprises
8330 LBJ Freeway
Executive Center III
Dallas, TX 75243-1765
Tel:  (469) 372-0992
Fax: (469) 372-2649
www.trailblazerhealth.com

Mailing List Sign-up
http://www.trailblazerhealth.com/Login.aspx?DomainID=1

Contractor Medical Director
Debra Patterson, MD
Trailblazer Health Enterprises
8330 LBJ Freeway
Executive Center III
Dallas, TX 75243-1765
Tel:  (469) 372-0992
Fax: (469) 372-2649
Debra.Patterson@trailblazerhealth.com

Other States Covered Under MAC Jurisdiction 4:
Colorado

Oklahoma

New Mexico

Oncology CAC Representative(s)

Oncology CAC Representative
John Cox, DO, MBA
Texas Oncology Methodist Cancer Centers
3555 West Wheatland Road, St. 200
Dallas, TX 75237-3461
Tel:  (972) 709-2580
Fax: (972) 283-9387
john.cox@usoncology.com

Hematology CAC Representative(s)

Hematology CAC Representative
David Gordon, MD
8527 Village Drive, Suite 101
San Antonio, TX 78217-5507
Tel:  (210) 656-7177
Fax: (210) 656-3687
david.gordon@usoncology.com

Hematology CAC Alternate
Roger Lyons, MD
Hematology Oncology Associates
4319 Medical Drive, Suite 205
San Antonio, TX 78229-3722
Tel:  (210) 595-5300
Fax: (210) 595-5301
roger.lyons@usoncology.com


State Oncology/Hematology Society
Texas Society of Medical Oncology

State Managers' Society
Coalition of Hematology Oncology Practices of The Southwest

State Medical Society
Texas Medical Association

State Department of Insurance

Texas Department of Insurance
P.O. Box 149104
Austin, TX   78714-9104

Help For Toll-Free #
Consumers 800-252-3439
Injured Workers 800-252-7031
Reporting Arson 877-434-7345
Reporting Fraud 888-327-8818
Safety Violations 800-452-9595
tdi phone listings ]
Help For Link
Agents / Adjusters E-mail
Filing Complaints E-mail
Health Providers E-mail
Media / Others E-mail
Website Problems E-mail
 
Prompt Pay Law

Texas

Texas Health Maintenance Organization Act
Chapter 20 A Section 18B
Senate Bill 418

PPO
Texas Insurance
3.70-3c, Section 3a

HMO
Article 20A.18b

45 days for payment, denial or audit of non-electronic, non-pharmacy clean claims; 30 days for payment, denial or audit of electronic; non-pharmacy clean claims; 21 days from affirmative adjudication for payment of pharmacy claims. Late payment penalties: (1) If claim is paid on or before 45th day after applicable statutory claim payment period (as defined) carrier must pay: contracted rate plus the lesser of 50% of difference between contracted rate and billed charges or $100,000. (2) If claim is paid on or after the 46th day but before 91st day afterapplicable statutory claim payment period, carrier must pay: the contracted rate plus the lesser of 100% of the difference between contracted and billed charge or $200,000. (3) If claim is paid on or after the 91st day after the applicable statutory claim payment period,the carrier must pay the contracted rate plus the penalty specified in paragraph 2 plus 18% interest on the penalty amount.

State Board of Pharmacy
Texas State Board of Pharmacy

Gay Dodson
Executive Director/Secretary
333 Guadalupe, Tower 3, Suite 600
Austin, TX 78701-3943
Phone: 512/305-8000
Fax: 512/305-8082
Web site: 
www.tsbp.state.tx.us
E-mail: gay.dodson@tsbp.state.tx.us

 

 

STATES




CONTACT
(202) 756-2258

1101 Pennsylvania Avenue, N.W.
Suite 700
Washington, DC 20004