{"data":{"id":"us-tx/tex.-insurance-code-1301.1052","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1301.1052","heading":"PREFERRED PROVIDER APPEAL AFTER AUDIT.","body":"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.\nAmended by:\nActs 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.037(a), eff. September 1, 2005.","path":["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"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm#1301.1052","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"22289bbb4ceded3fe74e9c3d271e4ad1fd0a5aa28c15c626079347c30cb5f744","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1301.1051","next":"us-tx/tex.-insurance-code-1301.1053"},"notice":"GroundRules: Original legal text. Not legal advice."}