{"data":{"id":"us-tx/tex.-insurance-code-1452.106","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1452.106","heading":"EFFECT OF FAILURE TO MEET CREDENTIALING REQUIREMENTS.","body":"If, on completion of the credentialing process, the managed care plan issuer determines that the applicant physician does not meet the issuer's credentialing requirements:\n(1) the managed care plan issuer may recover from the applicant physician or the physician's medical group an amount equal to the difference between payments for in-network benefits and out-of-network benefits; and\n(2) the applicant physician or the physician's medical group may retain any copayments collected or in the process of being collected as of the date of the issuer's determination.\nAdded by Acts 2007, 80th Leg., R.S., Ch. 1203 (H.B. 1594), Sec. 1, eff. September 1, 2007.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE F. PHYSICIANS AND HEALTH CARE PROVIDERS","CHAPTER 1452. PHYSICIAN AND PROVIDER CREDENTIALS","SUBCHAPTER C. EXPEDITED CREDENTIALING PROCESS FOR CERTAIN PHYSICIANS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1452.htm#1452.106","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"9e49db3bd6f3cbe4dd6274be0610892902ad0bbab22d8afab251ad41455d31eb","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1452.105","next":"us-tx/tex.-insurance-code-1452.107"},"notice":"GroundRules: Original legal text. Not legal advice."}