Tex. Ins. Code § 1301.106 · Subchapter C. PROMPT PAYMENT OF CLAIMS
CLAIMS PROCESSING PROCEDURES AND CLAIMS PAYMENT PROCESSES.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(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.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.037(a), eff. September 1, 2005.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm
- Text hash
- sha256 9321d72827df7e449e1a468d33d537cd210ccc3bfa579d97d5577a7160e5cfa6
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.