{"data":{"id":"us-tx/tex.-insurance-code-1301.055","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1301.055","heading":"COMPLAINT RESOLUTION.","body":"(a) Each contract under a preferred provider benefit plan between an insurer and a physician or other practitioner or a physicians' group must have a mechanism for resolving complaints initiated by an insured, a physician or other practitioner, or a physicians' group.\n(b) A complaint resolution mechanism must provide for reasonable due process that includes, in an advisory role only, a review panel selected in the manner described by Section 1301.053(b).\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE D. PROVIDER PLANS","CHAPTER 1301. PREFERRED PROVIDER BENEFIT PLANS","SUBCHAPTER B. RELATIONS WITH PHYSICIANS OR HEALTH CARE PROVIDERS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm#1301.055","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"a8d6cc97e85b086b914eff2a209e1183ac1d89fea8b929c12c6a1afaeb86579b","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1301.054","next":"us-tx/tex.-insurance-code-1301.056"},"notice":"GroundRules: Original legal text. Not legal advice."}