Sec. 1467.050. APPLICABILITY OF SUBCHAPTER. (a) This subchapter applies only with respect to a health benefit claim submitted by an out-of-network provider that is a facility.
(b) This subchapter does not apply to a health benefit claim for the professional or technical component of a physician service.
Added by Acts 2019, 86th Leg., R.S., Ch. 1342 (S.B. 1264), Sec. 2.05, eff. September 1, 2019.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle F - Physicians and Health Care Providers
Chapter 1467 - Out-of-Network Claim Dispute Resolution
Subchapter B. Mandatory Mediation for Out-of-Network Facilities
Section 1467.050. Applicability of Subchapter
Section 1467.0505. Establishment and Administration of Mediation Program
Section 1467.051. Availability of Mandatory Mediation
Section 1467.052. Mediator Qualifications
Section 1467.053. Appointment of Mediator; Fees
Section 1467.054. Request and Preliminary Procedures for Mandatory Mediation
Section 1467.055. Conduct of Mediation; Confidentiality
Section 1467.056. Matters Considered in Mediation; Agreed Resolution