Sec. 4151.0021. APPLICABILITY TO CERTAIN PROCESSING AGENTS. (a) In this section, "processing agent" means a person described by Section 413.0111, Labor Code.
(b) A processing agent is not an administrator for purposes of this chapter if the processing agent is acting as an assignee of a pharmacy and if:
(1) the assignee has a written contract with the pharmacy to:
(A) act as the provider of licensed pharmacy services in lieu of the pharmacy; and
(B) purchase the pharmacy's claims at face value, or at a value expressly stated in the contract; and
(2) the contract specifically prohibits the assignee from performing any function of an administrator, as that term is defined in this chapter, unless the assignee holds a certificate of authority under this chapter.
Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.03, eff. September 1, 2007.
Structure Texas Statutes
Title 13 - Regulation of Professionals
Subtitle D - Other Professionals
Chapter 4151 - Third-Party Administrators
Subchapter A. General Provisions
Section 4151.0021. Applicability to Certain Processing Agents
Section 4151.0022. Nonapplicability
Section 4151.003. Applicability of Other Provisions of Code
Section 4151.0031. Market Analysis
Section 4151.004. Applicability to Certain Insurers and Health Maintenance Organizations
Section 4151.005. Administrator Not Insurance Agent