SECTION 354.1141. Notification to Eligible Providers

The health insuring agent develops and implements procedures to advise eligible providers that they must report and utilize other sources of payment available to eligible recipients to the maximum extent permitted. Payment is reduced to the extent that part of any specified benefits are covered by any health, accident, or other insurance policy or contract. In determining coverage, no exclusion of the insurance policy or benefit system with respect to benefits otherwise payable is taken into account.

Source Note: The provisions of this §354.1141 adopted to be effective May 30, 1977, 2 TexReg 1929; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561