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 |
§ 1301.101. DEFINITION |
§ 1301.102. SUBMISSION OF CLAIM |
§ 1301.1021. RECEIPT OF CLAIM |
§ 1301.103. DEADLINE FOR ACTION ON CLEAN CLAIMS |
§ 1301.104. DEADLINE FOR ACTION ON PHARMACY CLAIMS; PAYMENT |
§ 1301.1041. AUDIT OF PHARMACIST OR PHARMACY |
§ 1301.105. AUDITED CLAIMS |
§ 1301.1051. COMPLETION OF AUDIT |
§ 1301.1052. PREFERRED PROVIDER APPEAL AFTER AUDIT |
§ 1301.1053. DEADLINES NOT EXTENDED |
§ 1301.1054. REQUESTS FOR ADDITIONAL INFORMATION |
§ 1301.106. CLAIMS PROCESSING PROCEDURES AND CLAIMS PAYMENT PROCESSES |
§ 1301.107. CONTRACTUAL WAIVER AND OTHER ACTIONS PROHIBITED |
§ 1301.108. ATTORNEY'S FEES |
§ 1301.109. APPLICABILITY TO ENTITIES CONTRACTING WITH INSURER |