Texas Administrative Code

Texas Administrative Code

TITLE 28	INSURANCE
PART 2	TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
CHAPTER 124	INSURANCE CARRIERS: NOTICES, PAYMENTS, AND REPORTING
RULE §124.2	Insurance Carrier Reporting and Notification Requirements

(1) The contact information for each function shall include mailing address, telephone number, facsimile number, and email address as appropriate. This contact information may be provided either in the form of a single Uniform Resource Locator (URL) for a web page created and maintained by the insurance carrier that contains the required information or through an online submission to the division.

(A) Coverage verification (policy issuance and effective dates of policy);

(B) Claim adjustment;

(D) Pharmacy billing (if different from medical billing); and

(E) Preauthorization.

(2) If the web page option is used the page shall contain the date on which it was last updated and an email address or other contact information to which a user may report problems or inaccuracies.

(3) The insurance carrier shall update the contact information or URL within 10 working days after any such change is made.

(s) All notices to a claimant required under this section must be stated in plain language and in no less than 12-point font. This subsection applies to notices sent on or after April 1, 2020.

Source Note: The provisions of this §124.2 adopted to be effective August 29, 1999, 24 TexReg 6503; amended to be effective June 5, 2003, 28 TexReg 4285; amended to be effective January 12, 2020, 45 TexReg 348