{"data":{"id":"us-tx/tex.-insurance-code-1467.089","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1467.089","heading":"EFFECT OF DECISION.","body":"(a) An arbitrator's decision under Section 1467.088 is binding.\n(b) Not later than the 45th day after the date of an arbitrator's decision under Section 1467.088, a party not satisfied with the decision may file an action to determine the payment due to an out-of-network provider.\n(c) In an action filed under Subsection (b), the court shall determine whether the arbitrator's decision is proper based on a substantial evidence standard of review.\n(d) Not later than the 30th day after the date of an arbitrator's decision under Section 1467.088, a health benefit plan issuer or administrator shall pay to an out-of-network provider any additional amount necessary to satisfy the binding award.\nAdded by Acts 2019, 86th Leg., R.S., Ch. 1342 (S.B. 1264), Sec. 2.15, eff. September 1, 2019.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE F. PHYSICIANS AND HEALTH CARE PROVIDERS","CHAPTER 1467. OUT-OF-NETWORK CLAIM DISPUTE RESOLUTION","SUBCHAPTER B-1. MANDATORY BINDING ARBITRATION FOR OTHER PROVIDERS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1467.htm#1467.089","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"19fad0ae69bad86d62f76c3248667c57ac6d55e18d509f81631ff58f2a9273c2","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1467.088","next":"us-tx/tex.-insurance-code-1467.101"},"notice":"GroundRules: Original legal text. Not legal advice."}