Public-domain · open source
OpenJurist

Tex. Ins. Code § 1301.106

CLAIMS PROCESSING PROCEDURES AND CLAIMS PAYMENT PROCESSES

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff

(a) An insurer shall provide a preferred provider with copies of all applicable utilization review policies and claim processing policies or procedures.

(b) An insurer's claims payment processes shall:

(1) use nationally recognized, generally accepted Current Procedural Terminology codes, notes, and guidelines, including all relevant modifiers; and

(2) be consistent with nationally recognized, generally accepted bundling edits and logic.

Official source: Texas Constitution and Statutes. Reproduced from public-domain Texas statutes; confirm against the official source for the current text. Not legal advice.