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Texas Insurance Code - Section 1301.106. Claims Processing Procedures And Claims Payment Processes

Legal Research Home > Texas Laws > Insurance Code > Texas Insurance Code - Section 1301.106. Claims Processing Procedures And Claims Payment Processes

§ 1301.106. CLAIMS PROCESSING PROCEDURES AND CLAIMS PAYMENT PROCESSES. (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. Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005. Amended by Acts 2005, 79th Leg., ch. 728, § 11.037(a), eff. Sept. 1, 2005.

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Last modified: August 11, 2007