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Texas Statutes (Last Updated: January 4, 2014) |
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INSURANCE CODE |
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Title 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES |
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Subtitle J. HEALTH INFORMATION TECHNOLOGY |
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Chapter 1661. INFORMATION TECHNOLOGY |
Sec. 1661.002. USE OF CERTAIN INFORMATION TECHNOLOGY REQUIRED
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(a) A health benefit plan issuer shall use information technology that provides a participating provider with real-time information at the point of care concerning:
(1) the enrollee's:
(A) copayment and coinsurance;
(B) applicable deductibles; and
(C) covered benefits and services; and
(2) the enrollee's estimated total financial responsibility for the care.
(b) A health benefit plan issuer shall use information technology that provides an enrollee with information concerning the enrollee's:
(1) copayment and coinsurance;
(2) applicable deductibles;
(3) covered benefits and services; and
(4) estimated financial responsibility for the health care provided to the enrollee.
(c) Nothing in this section may be interpreted as a guarantee of payment for health care services.
(d) A health benefit plan issuer's Internet website may be used to meet the information technology requirements of this chapter.