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Subchapter A. General Provisions
Section 1275.001. Definitions - Sec. 1275.001. DEFINITIONS. In this chapter: (1) "Enrollee" means an...
Section 1275.002. Applicability of Chapter - Sec. 1275.002. APPLICABILITY OF CHAPTER. This chapter applies to a...
Section 1275.003. Balance Billing Prohibition Notice - Sec. 1275.003. BALANCE BILLING PROHIBITION NOTICE. (a) The administrator of...
Section 1275.004. Out-of-Network Claim Dispute Resolution - Sec. 1275.004. OUT-OF-NETWORK CLAIM DISPUTE RESOLUTION. Chapter 1467 applies to...
Subchapter B. Payments for Certain Services; Balance Billing Prohibitions
Section 1275.051. Emergency Care Payments - Sec. 1275.051. EMERGENCY CARE PAYMENTS. (a) In this section, "emergency...
Section 1275.052. Out-of-Network Facility-Based Provider Payments - Sec. 1275.052. OUT-OF-NETWORK FACILITY-BASED PROVIDER PAYMENTS. (a) In this section,...
Section 1275.053. Out-of-Network Diagnostic Imaging Provider or Laboratory Service Provider Payments - Sec. 1275.053. OUT-OF-NETWORK DIAGNOSTIC IMAGING PROVIDER OR LABORATORY SERVICE PROVIDER...