Texas Statutes
Subtitle A - Health Coverage in General
Chapter 1204 - Procedures for Payment of Certain Health and Accident Insurance Policy or Plan Benefits

Subchapter A. Payments to Certain Public Hospitals

Section 1204.001. Nonapplicability to Certain Facilities - Sec. 1204.001. NONAPPLICABILITY TO CERTAIN FACILITIES. This subchapter does not...

Section 1204.002. Benefits Payable for Treatment Provided by Hospital Owned by State or Unit of Local Government - Sec. 1204.002. BENEFITS PAYABLE FOR TREATMENT PROVIDED BY HOSPITAL OWNED...

Subchapter B. Assignment of Benefit Payments

Section 1204.051. Definitions - Sec. 1204.051. DEFINITIONS. In this subchapter: (1) "Covered person" means...

Section 1204.052. Applicability to Certain Plans or Programs - Sec. 1204.052. APPLICABILITY TO CERTAIN PLANS OR PROGRAMS. This subchapter...

Section 1204.053. Assignment of Benefits - Sec. 1204.053. ASSIGNMENT OF BENEFITS. (a) An insurer may not...

Section 1204.054. Payment of Benefits According to Assignment - Sec. 1204.054. PAYMENT OF BENEFITS ACCORDING TO ASSIGNMENT. An insurer...

Section 1204.055. Contractual Responsibility for Deductibles and Copayments - Sec. 1204.055. CONTRACTUAL RESPONSIBILITY FOR DEDUCTIBLES AND COPAYMENTS. (a) The...

Subchapter C. Uniform Claim Billing Forms

Section 1204.101. Definitions - Sec. 1204.101. DEFINITIONS. In this subchapter: (1) "Health benefit plan"...

Section 1204.102. Required Claim Billing Forms - Sec. 1204.102. REQUIRED CLAIM BILLING FORMS. A provider who seeks...

Subchapter D. Payments for Certain Publicly Provided Services

Section 1204.151. Definition - Sec. 1204.151. DEFINITION. In this subchapter, "policy" means an individual...

Section 1204.152. Payment for Certain Expenses Incurred by Texas Department of Human Services - Sec. 1204.152. PAYMENT FOR CERTAIN EXPENSES INCURRED BY TEXAS DEPARTMENT...

Section 1204.153. Payments to Texas Department of Human Services for Certain Children - Sec. 1204.153. PAYMENTS TO TEXAS DEPARTMENT OF HUMAN SERVICES FOR...

Section 1204.154. Uniform Provisions - Sec. 1204.154. UNIFORM PROVISIONS. (a) The commissioner shall adopt uniform...

Subchapter E. Exclusionary Clauses

Section 1204.201. Prohibition of Exclusion of Certain Medical Assistance Benefits - Sec. 1204.201. PROHIBITION OF EXCLUSION OF CERTAIN MEDICAL ASSISTANCE BENEFITS....

Subchapter F. Payment of Benefits to Conservator of Minor

Section 1204.251. Payment to Conservator Other Than Group Member - Sec. 1204.251. PAYMENT TO CONSERVATOR OTHER THAN GROUP MEMBER. (a)...

Section 1204.252. Preconditions for Payment; Exceptions - Sec. 1204.252. PRECONDITIONS FOR PAYMENT; EXCEPTIONS. (a) In accordance with...

Section 1204.253. Rules - Sec. 1204.253. RULES. The commissioner may adopt rules to ensure...