Tex. Ins. Code § 843.339 · Subchapter J. PAYMENT OF CLAIMS TO PHYSICIANS AND PROVIDERS
DEADLINE FOR ACTION ON PRESCRIPTION CLAIMS; PAYMENT.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A health maintenance organization, or a pharmacy benefit manager that administers pharmacy claims for the health maintenance organization, that affirmatively adjudicates a pharmacy claim that is electronically submitted shall pay the total amount of the claim through electronic funds transfer not later than the 18th day after the date on which the claim was affirmatively adjudicated.
(b) A health maintenance organization, or a pharmacy benefit manager that administers pharmacy claims for the health maintenance organization, that affirmatively adjudicates a pharmacy claim that is not electronically submitted shall pay the total amount of the claim not later than the 21st day after the date on which the claim was affirmatively adjudicated.
Notes and commentary — not statutory text
History
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003. Amended by Acts 2003, 78th Leg., ch. 214, Sec. 10, eff. June 17, 2003.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 798 (H.B. 2292), Sec. 3, eff. September 1, 2011.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.843.htm
- Text hash
- sha256 0cad1b3b7987cc155da7d2d790b703d37d72c78cc50ad3f33923a2947d49918c
- 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
Cited by 6 provisions
Provisions in this library whose text cites Tex. Ins. Code § 843.339. Each shows the citation as that text prints it.
Government Code
Insurance Code
- Tex. Ins. Code § 843.338DEADLINE FOR ACTION ON CLEAN CLAIMS.Printed as Sections 843.3385 and 843.339
- Tex. Ins. Code § 843.3385ADDITIONAL INFORMATION.Printed as Section 843.338 or 843.339
- Tex. Ins. Code § 843.3405INVESTIGATION AND DETERMINATION OF PAYMENT.Printed as Section 843.338 or 843.339
- Tex. Ins. Code § 843.342VIOLATION OF CERTAIN CLAIMS PAYMENT PROVISIONS; PENALTIES.Printed as Section 843.338, 843.339, or 843.340
- Tex. Ins. Code § 843.349COORDINATION OF PAYMENT.Printed as Section 843.338 or 843.339
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.