Texas Insurance Code

§ 843.346 — PAYMENT OF CLAIMS

IN § 843.346Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES · Part C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES · Ch. 843. HEALTH MAINTENANCE ORGANIZATIONS · Art. J. PAYMENT OF CLAIMS TO PHYSICIANS AND PROVIDERS

Statute text

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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.

Legislative history

Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003. Amended by Acts 2003, 78th Leg., ch. 214, Sec. 18, eff. June 17, 2003.