Texas Administrative Code |
TITLE 28 | INSURANCE |
PART 1 | TEXAS DEPARTMENT OF INSURANCE |
CHAPTER 21 | TRADE PRACTICES |
SUBCHAPTER T | SUBMISSION OF CLEAN CLAIMS |
Rules
§21.2801 | Purpose and Scope |
§21.2802 | Definitions |
§21.2803 | Elements of a Clean Claim |
§21.2804 | Requests for Additional Information from Treating Preferred Provider |
§21.2805 | Requests for Additional Information from Other Sources |
§21.2806 | Claims Filing Deadline |
§21.2807 | Effect of Filing a Clean Claim |
§21.2808 | Effect of Filing Deficient Claim |
§21.2809 | Audit Procedures |
§21.2810 | Date of Claim Payment |
§21.2811 | Disclosure of Processing Procedures |
§21.2812 | Denial of Clean Claim Prohibited for Change of Address |
§21.2813 | Requirements Applicable to Other Contracting Entities |
§21.2814 | Electronic Adjudication of Prescription Benefits |
§21.2815 | Failure to Meet the Statutory Claims Payment Period |
§21.2816 | Date of Receipt |
§21.2817 | Terms of Contracts |
§21.2818 | Overpayment of Claims |
§21.2819 | Catastrophic Event |
§21.2820 | Identification Cards |
§21.2821 | Reporting Requirements |
§21.2822 | Administrative Penalties |
§21.2823 | Applicability to Certain Noncontracting Physicians and Providers |
§21.2824 | Applicability |
§21.2825 | Severability |
§21.2826 | Waiver |