Tex. Ins. Code § 1452.107 · Subchapter C. EXPEDITED CREDENTIALING PROCESS FOR CERTAIN PHYSICIANS
ENROLLEE HELD HARMLESS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
An enrollee in the managed care plan is not responsible and shall be held harmless for the difference between in-network copayments paid by the enrollee to a physician who is determined to be ineligible under Section 1452.106 and the managed care plan's charges for out-of-network services. The physician and the physician's medical group may not charge the enrollee for any portion of the physician's fee that is not paid or reimbursed by the enrollee's managed care plan.
Notes and commentary — not statutory text
History
Added by Acts 2007, 80th Leg., R.S., Ch. 1203 (H.B. 1594), Sec. 1, eff. September 1, 2007.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1452.htm
- Text hash
- sha256 3e6722b69c76ac5353e6d8bb519475ce686311697dee9a7eaf075fa358161e4e
- 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
This section cites
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