Billing Instructions. A. Grantee shall request payment using the State of Texas Purchase Voucher (Form B-13) and acceptable supporting documentation for reimbursement of the required services/deliverables. Vouchers and supporting documentation should be mailed or submitted by fax or electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC1940 0000 Xxxx 00xx Xxxxxx PO Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx xxxxxxxxxxx@xxxx.xxxxx.xxx
Appears in 4 contracts
Samples: Renewal, Department Of, contracts.hhs.texas.gov
Billing Instructions. A. Grantee shall request payment using the State of Texas Purchase Voucher (Form B-13) and acceptable supporting documentation for reimbursement of the required services/deliverables. Vouchers and supporting documentation should be mailed or submitted by fax or electronic mail to the addresses/number below. Department of State Health Services Claims Processing UnitXxxx, MC1940 XX0000 0000 Xxxx 00xx Xxxxxx PO Box 149347 AustinXX Xxx 000000 Xxxxxx, TX XX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx xxxxxxxxxxx@xxxx.xxxxx.xxx
Appears in 1 contract
Samples: Department Of