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Section 1301.131. Elements of Clean Claim - Sec. 1301.131. ELEMENTS OF CLEAN CLAIM. (a) A nonelectronic claim...
Section 1301.132. Overpayment - Sec. 1301.132. OVERPAYMENT. (a) An insurer may recover an overpayment...
Section 1301.133. Verification - Sec. 1301.133. VERIFICATION. (a) In this section, "verification" includes preauthorization...
Section 1301.134. Coordination of Payment - Sec. 1301.134. COORDINATION OF PAYMENT. (a) An insurer may require...
Section 1301.135. Preauthorization of Medical and Health Care Services - Sec. 1301.135. PREAUTHORIZATION OF MEDICAL AND HEALTH CARE SERVICES. (a)...
Section 1301.1351. Posting of Preauthorization Requirements - Sec. 1301.1351. POSTING OF PREAUTHORIZATION REQUIREMENTS. (a) An insurer that...
Section 1301.1353. Remedy for Noncompliance - Sec. 1301.1353. REMEDY FOR NONCOMPLIANCE. (a) In addition to any...
Section 1301.136. Availability of Coding Guidelines - Sec. 1301.136. AVAILABILITY OF CODING GUIDELINES. (a) A contract between...
Section 1301.137. Violation of Claims Payment Requirements; Penalty - Sec. 1301.137. VIOLATION OF CLAIMS PAYMENT REQUIREMENTS; PENALTY. (a) Except...
Section 1301.138. Applicability to Entities Contracting With Insurer - Sec. 1301.138. APPLICABILITY TO ENTITIES CONTRACTING WITH INSURER. This subchapter...
Section 1301.139. Legislative Declaration - Sec. 1301.139. LEGISLATIVE DECLARATION. It is the intent of the...