Since In-Custody claims are paid at a low rate, additional funding will be included from the Under–insured bucket when payment is issued to the trauma centers for In-Custody Claims. 

1.What are the procedures if payment is received for In-Custody Claims? 

• Do not submit claim if payment is received for In-Custody Claim 
• Update the TEMIS database to indicate Payor 1 as In-Custody. 
• TEMIS will capture the data for claims considered In Custody.  

2.What are the procedures if no-payment is received on In-Custody claims? 

• Submit claim if payment is not received for In-Custody Claim   
• Include a copy of the denial letter from law enforcement or  
• The patient notes which indicate the reason why the claim was denied.
• The TEMIS database should indicate Payor 1 as County Indigent.