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

Tex. Insurance Code § 1452.003: SITE VISIT FOR INITIAL CREDENTIALING.

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Where this section sits in the code
  1. INSURANCE CODE
  2. TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
  3. SUBTITLE F. PHYSICIANS AND HEALTH CARE PROVIDERS
  4. CHAPTER 1452. PHYSICIAN AND PROVIDER CREDENTIALS
  5. SUBCHAPTER A. CREDENTIALING OF PHYSICIANS AND PROVIDERS BY HEALTH MAINTENANCE ORGANIZATION

(a) The commissioner shall require a health maintenance organization that conducts a site visit for the purpose of initial credentialing of a physician or provider to evaluate during the visit a site's accessibility, appearance, space, medical or dental recordkeeping practices, availability of appointments, and confidentiality procedures.

(b) The commissioner may not require the health maintenance organization to evaluate the appropriateness of equipment during the site visit.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.

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

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