Sec. 1452.104. PAYMENT OF APPLICANT PHYSICIAN DURING CREDENTIALING PROCESS. On submission by the applicant physician of the information required by the managed care plan issuer under Section 1452.103(2), and for payment purposes only, the issuer shall treat the applicant physician as if the physician were a participating provider in the health benefit plan network when the applicant physician provides services to the managed care plan's enrollees, including:
(1) authorizing the applicant physician to collect copayments from the enrollees; and
(2) making payments to the applicant physician.
Added by Acts 2007, 80th Leg., R.S., Ch. 1203 (H.B. 1594), Sec. 1, eff. September 1, 2007.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle F - Physicians and Health Care Providers
Chapter 1452 - Physician and Provider Credentials
Subchapter C. Expedited Credentialing Process
Section 1452.102. Applicability
Section 1452.103. Eligibility Requirements
Section 1452.104. Payment of Applicant Physician During Credentialing Process
Section 1452.105. Directory Entries
Section 1452.106. Effect of Failure to Meet Credentialing Requirements
Section 1452.107. Enrollee Held Harmless
Section 1452.108. Limitation on Managed Care Issuer Liability