{"data":{"id":"us-tx/tex.-insurance-code-1301.064","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1301.064","heading":"CONTRACT PROVISIONS RELATING TO PAYMENT OF CLAIMS.","body":"Subject to Subchapter C, a preferred provider contract must provide for payment to a physician or health care provider for health care services and benefits provided to an insured under the contract and to which the insured is entitled under the terms of the contract not later than:\n(1) the 45th day after the date on which a claim for payment is received with the documentation reasonably necessary to process the claim; or\n(2) if applicable, within the number of calendar days specified by written agreement between the physician or health care provider and the insurer.\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#1301.064","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"7aaa5a498dff1a541ffbff6e581a83da1bd8e2c07d0019596a97ecc4838c8ccb","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1301.063","next":"us-tx/tex.-insurance-code-1301.0641"},"notice":"GroundRules: Original legal text. Not legal advice."}