Tex. Ins. Code § 843.351 · Subchapter J. PAYMENT OF CLAIMS TO PHYSICIANS AND PROVIDERS
SERVICES PROVIDED BY CERTAIN PHYSICIANS AND PROVIDERS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
The provisions of this subchapter relating to prompt payment by a health maintenance organization of a physician or provider and to verification of health care services apply to a physician or provider who:
(1) is not included in the health maintenance organization delivery network; and
(2) provides to an enrollee:
(A) care related to an emergency or its attendant episode of care as required by state or federal law; or
(B) specialty or other health care services at the request of the health maintenance organization or a physician or provider who is included in the health maintenance organization delivery network because the services are not reasonably available within the network.
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 2ccd16aec31c4d18033168e69d282d9933b563bfd7aaf0f4a5a827489f6a8fe7
- 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.