Texas Statutes
Chapter 843 - Health Maintenance Organizations
Subchapter J. Payment of Claims to Physicians and Providers

Section 843.336. Definition - Sec. 843.336. DEFINITION. (a) In this subchapter, "clean claim" means...

Section 843.337. Time for Submission of Claim; Duplicate Claims; Acknowledgment of Receipt of Claim - Sec. 843.337. TIME FOR SUBMISSION OF CLAIM; DUPLICATE CLAIMS; ACKNOWLEDGMENT...

Section 843.338. Deadline for Action on Clean Claims - Sec. 843.338. DEADLINE FOR ACTION ON CLEAN CLAIMS. Except as...

Section 843.3385. Additional Information - Sec. 843.3385. ADDITIONAL INFORMATION. (a) If a health maintenance organization...

Section 843.339. Deadline for Action on Prescription Claims; Payment - Sec. 843.339. DEADLINE FOR ACTION ON PRESCRIPTION CLAIMS; PAYMENT. (a)...

Section 843.340. Audited Claims - Sec. 843.340. AUDITED CLAIMS. (a) Except as provided by Section...

Section 843.3405. Investigation and Determination of Payment - Sec. 843.3405. INVESTIGATION AND DETERMINATION OF PAYMENT. The investigation and...

Section 843.341. Claims Processing Procedures - Sec. 843.341. CLAIMS PROCESSING PROCEDURES. (a) A health maintenance organization...

Section 843.342. Violation of Certain Claims Payment Provisions; Penalties - Sec. 843.342. VIOLATION OF CERTAIN CLAIMS PAYMENT PROVISIONS; PENALTIES. (a)...

Section 843.343. Attorney's Fees - Sec. 843.343. ATTORNEY'S FEES. A physician or provider may recover...

Section 843.344. Applicability of Subchapter to Entities Contracting With Health Maintenance Organization - Sec. 843.344. APPLICABILITY OF SUBCHAPTER TO ENTITIES CONTRACTING WITH HEALTH...

Section 843.345. Exception - Sec. 843.345. EXCEPTION. This subchapter does not apply to a...

Section 843.346. Payment of Claims - Sec. 843.346. PAYMENT OF CLAIMS. Except as provided by this...

Section 843.347. Verification - Sec. 843.347. VERIFICATION. (a) In this section, "verification" means a...

Section 843.348. Preauthorization of Health Care Services - Sec. 843.348. PREAUTHORIZATION OF HEALTH CARE SERVICES. (a) In this...

Section 843.3481. Posting of Preauthorization Requirements - Sec. 843.3481. POSTING OF PREAUTHORIZATION REQUIREMENTS. (a) A health maintenance...

Section 843.3483. Remedy for Noncompliance - Sec. 843.3483. REMEDY FOR NONCOMPLIANCE. In addition to any other...

Section 843.349. Coordination of Payment - Sec. 843.349. COORDINATION OF PAYMENT. (a) A health maintenance organization...

Section 843.350. Overpayment - Sec. 843.350. OVERPAYMENT. (a) A health maintenance organization may recover...

Section 843.351. Services Provided by Certain Physicians and Providers - Sec. 843.351. SERVICES PROVIDED BY CERTAIN PHYSICIANS AND PROVIDERS. The...

Section 843.352. Conflict With Other Law - Sec. 843.352. CONFLICT WITH OTHER LAW. To the extent of...

Section 843.353. Waiver Prohibited - Sec. 843.353. WAIVER PROHIBITED. Except as provided by Sections 843.336(f)...

Section 843.354. Legislative Declaration - Sec. 843.354. LEGISLATIVE DECLARATION. It is the intent of the...