<<Prev Rule

Texas Administrative Code

Next Rule>>
TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 13MISCELLANEOUS INSURERS AND OTHER REGULATED ENTITIES
SUBCHAPTER EHEALTH CARE COLLABORATIVES
DIVISION 10COMPLAINT SYSTEMS; RIGHTS OF PHYSICIANS; LIMITATIONS ON PARTICIPATION
RULE §13.493Rights of Physicians

Before a complaint against a physician under Insurance Code §848.107 is resolved, or before a physician's association with an HCC is involuntarily terminated, the HCC must provide the physician an opportunity to dispute the complaint or termination through a process that includes:

  (1) written notice of the complaint or basis of the termination;

  (2) opportunity for hearing not earlier than the 30th day after the physician receives notice under paragraph (1) of this section;

  (3) the right to provide information at the hearing; and

  (4) a written decision that includes specific facts and reasons for the decision.


Source Note: The provisions of this §13.493 adopted to be effective March 31, 2013, 38 TexReg 2100

Link to Texas Secretary of State Home Page | link to Texas Register home page | link to Texas Administrative Code home page | link to Open Meetings home page