Texas Labor Code
§ 408.0272 — CERTAIN EXCEPTIONS FOR UNTIMELY SUBMISSION OF CLAIM
LA § 408.0272Title 5. WORKERS' COMPENSATION · Part A. TEXAS WORKERS' COMPENSATION ACT · Ch. 408. WORKERS' COMPENSATION BENEFITS · Art. B. MEDICAL BENEFITS
Statute text
View on source(a)In this section:
(1)"Group accident and health insurance" has the meaning assigned by Chapter 1251, Insurance Code.
(2)"Health maintenance organization" has the meaning assigned by Chapter 843, Insurance Code.
(b)Notwithstanding Section 408.027, a health care provider who fails to timely submit a claim for payment to the insurance carrier under Section 408.027(a) does not forfeit the provider's right to reimbursement for that claim for payment solely for failure to submit a timely claim if:
(1)the provider submits proof satisfactory to the commissioner that the provider, within the period prescribed by Section 408.027(a), erroneously filed for reimbursement with:
(A)an insurer that issues a policy of group accident and health insurance under which the injured employee is a covered insured;
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Legislative history
Added by Acts 2007, 80th Leg., R.S., Ch. 459 (H.B. 1005), Sec. 1, eff. September 1, 2007.