Tex. Ins. Code § 1301.106

Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.

Section 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.

Tex. Ins. Code § 1301.106

Amended By Acts 2005, 79th Leg., Ch. 728, Sec. 11.037(a), eff. 9/1/2005.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005.