Texas § IN.1301.106 - CLAIMS PROCESSING PROCEDURES AND CLAIMS PAYMENT PROCESSES
Full text of Texas The Texas Constitution § IN.1301.106 — CLAIMS PROCESSING PROCEDURES AND CLAIMS PAYMENT PROCESSES, with citation guidance and answers to common questions.
§ IN.1301.106. CLAIMS PROCESSING PROCEDURES AND CLAIMS PAYMENT PROCESSES
CLAIMS PROCESSING PROCEDURES AND CLAIMS PAYMENT PROCESSES. (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. 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.
Frequently Asked Questions About Texas § IN.1301.106
What does The Texas Constitution § IN.1301.106 cover?
Section IN.1301.106 ("CLAIMS PROCESSING PROCEDURES AND CLAIMS PAYMENT PROCESSES") is part of the The Texas Constitution, the codified statutory law of Texas. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Texas § IN.1301.106?
A common citation format is "The Texas Constitution § IN.1301.106" (Texas). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Texas law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Texas official source linked on this page or consult a licensed Texas attorney.
How does Texas § IN.1301.106 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Texas can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Texas.