Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Insurance Code § 1301.1052: PREFERRED PROVIDER APPEAL AFTER AUDIT.

Where this section sits in the code

INSURANCE CODE
TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
SUBTITLE D. PROVIDER PLANS
CHAPTER 1301. PREFERRED PROVIDER BENEFIT PLANS
SUBCHAPTER C. PROMPT PAYMENT OF CLAIMS

If a preferred provider disagrees with a refund request made by an insurer based on an audit under Section 1301.105, the insurer shall provide the provider with an opportunity to appeal, and the insurer may not attempt to recover the payment until all appeal rights are exhausted.

Amended by:

Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.037(a), eff. September 1, 2005.

Collected 2026-08-27T01:47:21Z. Source file · JSON

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