This version of the form is not currently in use and is provided for reference only. Download this version of Form 1319 for the current year.
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.
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.
Form Details:
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.