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Tex. Ins. Code § 843.346

PAYMENT OF CLAIMS

Known as the Texas Health Maintenance Organization Act

The act spans §§ 843.001 to 843.464 (146 sections).

Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff

Except as provided by this subchapter, a health maintenance organization shall pay a physician or provider for health care services and benefits provided to an enrollee not later than:

(1) the 45th day after the date on which a claim for payment is received with the documentation reasonably necessary to process the claim; or

(2) if applicable, within the number of calendar days specified by written agreement between the physician or provider and the health maintenance organization.

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