Texas Statutes
Subchapter J. Payment of Claims to Physicians and Providers
Section 843.344. Applicability of Subchapter to Entities Contracting With Health Maintenance Organization

Sec. 843.344. APPLICABILITY OF SUBCHAPTER TO ENTITIES CONTRACTING WITH HEALTH MAINTENANCE ORGANIZATION. This subchapter applies to a person, including a pharmacy benefit manager, with whom a health maintenance organization contracts to:
(1) process or pay claims;
(2) obtain the services of physicians and providers to provide health care services to enrollees; or
(3) issue verifications or preauthorizations.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003. Amended by Acts 2003, 78th Leg., ch. 214, Sec. 16, eff. June 17, 2003.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 798 (H.B. 2292), Sec. 5, eff. September 1, 2011.

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