Texas Insurance Code Title 8, Chapter 1274 - Electronic Transmission Of Eligibility And Payment Status

• Texas Section 1274.001 - Definitions
  In this chapter: (1) "Enrollee" means an individual who is eligible for coverage under a health benefit plan, including a covered dependent. (2) "Health benefit...
• Texas Section 1274.0015 - Exemption
  This chapter does not apply to a single-service health maintenance organization that provides coverage only for dental or vision benefits. Added by Acts 2005, 79th...
• Texas Section 1274.002 - Transmission Of Enrollee Eligibility And Payment Status
  (a) Each health benefit plan issuer shall, upon the participating provider's submission of the patient's name, relationship to the primary enrollee, and birth date, make...
• Texas Section 1274.003 - Certain Charges Prohibited
  A health benefit plan issuer may not directly or indirectly charge or hold a physician, health care provider, or enrollee responsible for a fee for...
• Texas Section 1274.004 - Rules
  (a) The commissioner shall adopt rules as necessary to implement this chapter. (b) Before adopting rules under this section, the commissioner shall consult and receive...
• Texas Section 1274.005 - Waiver Of Certain Provisions For Certain Federal Plans
  If the commissioner, in consultation with the commissioner of health and human services, determines that a provision of Section 1274.002 will cause a negative fiscal...

Last modified: September 28, 2016