Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 28. INSURANCE |
PART 1. TEXAS DEPARTMENT OF INSURANCE |
CHAPTER 13. MISCELLANEOUS INSURERS AND OTHER REGULATED ENTITIES |
SUBCHAPTER E. HEALTH CARE COLLABORATIVES |
DIVISION 10. COMPLAINT SYSTEMS; RIGHTS OF PHYSICIANS; LIMITATIONS ON PARTICIPATION |
SECTION 13.493. Rights of Physicians
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Before a complaint against a physician under Insurance Code §848.107 is resolved, or before a physician's association with an HCC is involuntarily terminated, the HCC must provide the physician an opportunity to dispute the complaint or termination through a process that includes:
(1) written notice of the complaint or basis of the termination; (2) opportunity for hearing not earlier than the 30th day after the physician receives notice under paragraph (1) of this section; (3) the right to provide information at the hearing; and (4) a written decision that includes specific facts and reasons for the decision. Source Note: The provisions of this §13.493 adopted to be effective March 31, 2013, 38 TexReg 2100