Texas Statutes (Last Updated: January 4, 2014) |
INSURANCE CODE |
Title 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES |
Subtitle D. PROVIDER PLANS |
Chapter 1301. PREFERRED PROVIDER BENEFIT PLANS |
Subchapter C. PROMPT PAYMENT OF CLAIMS |
Sec. 1301.1052. PREFERRED PROVIDER APPEAL AFTER AUDIT
Latest version.
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If a preferred provider disagrees with a refund request made by an insurer based on an audit under Section 1301.105, the insurer shall provide the provider with an opportunity to appeal, and the insurer may not attempt to recover the payment until all appeal rights are exhausted.
Amended by: Acts 2005, 79th Leg., Ch. 728 , Sec. 11.037(a), eff. September 1, 2005.