Sec. 1301.109. APPLICABILITY TO ENTITIES CONTRACTING WITH INSURER


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  • This subchapter applies to a person, including a pharmacy benefit manager, with whom an insurer contracts to:

    (1) process or pay claims;

    (2) obtain the services of physicians and health care providers to provide health care services to insureds; or

    (3) issue verifications or preauthorizations.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005. Amended by: Acts 2005, 79th Leg., Ch. 728 , Sec. 11.037(a), eff. September 1, 2005. Acts 2011, 82nd Leg., R.S., Ch. 798 , Sec. 11, eff. September 1, 2011.