Texas Statutes
Chapter 1301 - Preferred Provider Benefit Plans
Subchapter B. Relations With Physicians or Health Care Providers

Section 1301.051. Designation as Preferred Provider - Sec. 1301.051. DESIGNATION AS PREFERRED PROVIDER. (a) An insurer shall...

Section 1301.0515. Acupuncturist Services - Sec. 1301.0515. ACUPUNCTURIST SERVICES. (a) An insurer offering a preferred...

Section 1301.0516. Chiropractic Services - Sec. 1301.0516. CHIROPRACTIC SERVICES. (a) An insurer offering a preferred...

Section 1301.052. Designation of Advanced Practice Nurse or Physician Assistant as Preferred Provider - Sec. 1301.052. DESIGNATION OF ADVANCED PRACTICE NURSE OR PHYSICIAN ASSISTANT...

Section 1301.0521. Designation of Certain Podiatrists as Preferred Providers - Sec. 1301.0521. DESIGNATION OF CERTAIN PODIATRISTS AS PREFERRED PROVIDERS. (a)...

Section 1301.0522. Designation of Certain Optometrists, Therapeutic Optometrists, and Ophthalmologists as Preferred Providers - Sec. 1301.0522. DESIGNATION OF CERTAIN OPTOMETRISTS, THERAPEUTIC OPTOMETRISTS, AND OPHTHALMOLOGISTS...

Section 1301.053. Appeal Relating to Designation as Preferred Provider - Sec. 1301.053. APPEAL RELATING TO DESIGNATION AS PREFERRED PROVIDER. (a)...

Section 1301.054. Notice to Practitioners of Preferred Provider Benefit Plan - Sec. 1301.054. NOTICE TO PRACTITIONERS OF PREFERRED PROVIDER BENEFIT PLAN....

Section 1301.055. Complaint Resolution - Sec. 1301.055. COMPLAINT RESOLUTION. (a) Each contract under a preferred...

Section 1301.056. Restrictions on Payment and Reimbursement - Sec. 1301.056. RESTRICTIONS ON PAYMENT AND REIMBURSEMENT. (a) An insurer...

Section 1301.057. Termination of Participation; Expedited Review Process - Sec. 1301.057. TERMINATION OF PARTICIPATION; EXPEDITED REVIEW PROCESS. (a) Before...

Section 1301.058. Economic Profiling - Sec. 1301.058. ECONOMIC PROFILING. An insurer that conducts, uses, or...

Section 1301.059. Quality Assessment - Sec. 1301.059. QUALITY ASSESSMENT. (a) In this section, "quality assessment"...

Section 1301.060. Compensation on Discounted Fee Basis - Sec. 1301.060. COMPENSATION ON DISCOUNTED FEE BASIS. A preferred provider...

Section 1301.061. Preferred Provider Networks - Sec. 1301.061. PREFERRED PROVIDER NETWORKS. (a) An insurer may enter...

Section 1301.062. Preferred Provider Contracts Between Insurers and Podiatrists - Sec. 1301.062. PREFERRED PROVIDER CONTRACTS BETWEEN INSURERS AND PODIATRISTS. A...

Section 1301.0625. Health Care Collaboratives - Sec. 1301.0625. HEALTH CARE COLLABORATIVES. (a) Subject to the requirements...

Section 1301.063. Contract Provisions Relating to Use of Hospitalist - Sec. 1301.063. CONTRACT PROVISIONS RELATING TO USE OF HOSPITALIST. (a)...

Section 1301.064. Contract Provisions Relating to Payment of Claims - Sec. 1301.064. CONTRACT PROVISIONS RELATING TO PAYMENT OF CLAIMS. Subject...

Section 1301.0641. Contract Provisions Prohibiting Rejection of Batched Claims - Sec. 1301.0641. CONTRACT PROVISIONS PROHIBITING REJECTION OF BATCHED CLAIMS. (a)...

Section 1301.065. Shifting of Insurer's Tort Liability Prohibited - Sec. 1301.065. SHIFTING OF INSURER'S TORT LIABILITY PROHIBITED. A preferred...

Section 1301.066. Retaliation Against Preferred Provider Prohibited - Sec. 1301.066. RETALIATION AGAINST PREFERRED PROVIDER PROHIBITED. An insurer may...

Section 1301.067. Interference With Relationship Between Patient and Physician or Health Care Provider Prohibited - Sec. 1301.067. INTERFERENCE WITH RELATIONSHIP BETWEEN PATIENT AND PHYSICIAN OR...

Section 1301.068. Inducement to Limit Medically Necessary Services Prohibited - Sec. 1301.068. INDUCEMENT TO LIMIT MEDICALLY NECESSARY SERVICES PROHIBITED. (a)...

Section 1301.069. Services Provided by Certain Physicians and Health Care Providers - Sec. 1301.069. SERVICES PROVIDED BY CERTAIN PHYSICIANS AND HEALTH CARE...