Tex. Ins. Code § 843.350 · Subchapter J. PAYMENT OF CLAIMS TO PHYSICIANS AND PROVIDERS
OVERPAYMENT.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A health maintenance organization may recover an overpayment to a physician or provider if:
(1) not later than the 180th day after the date the physician or provider receives the payment, the health maintenance organization provides written notice of the overpayment to the physician or provider that includes the basis and specific reasons for the request for recovery of funds; and
(2) the physician or provider does not make arrangements for repayment of the requested funds on or before the 45th day after the date the physician or provider receives the notice.
(b) If a physician or provider disagrees with a request for recovery of an overpayment, the health maintenance organization shall provide the physician or provider with an opportunity to appeal, and the health maintenance organization may not recover the overpayment until all appeal rights are exhausted.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 214, Sec. 19, eff. June 17, 2003.
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 e0e27aa2a320ee4564b607aeaa27d08d1d6ccaefc7896a14b12801bfa0035679
- 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 5 provisions
Provisions in this library whose text cites Tex. Ins. Code § 843.350. Each shows the citation as that text prints it.
Health and Safety Code
Insurance Code
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