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Texas Administrative Code (Last Updated: March 27,2024) |
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TITLE 28. INSURANCE |
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PART 1. TEXAS DEPARTMENT OF INSURANCE |
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CHAPTER 21. TRADE PRACTICES |
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SUBCHAPTER PP. OUT-OF-NETWORK CLAIM DISPUTE RESOLUTION |
| DIVISION 1. GENERAL PROVISIONS |
| § 21.5001. Purpose |
| § 21.5002. Scope |
| § 21.5003. Definitions |
| DIVISION 2. MEDIATION PROCESS |
| § 21.5010. Qualified Mediation Claim Criteria |
| § 21.5011. Mediation Request Procedure |
| § 21.5012. Informal Settlement Teleconference |
| § 21.5013. Mediation Participation |
| DIVISION 3. ARBITRATION PROCESS |
| § 21.5020. Qualified Arbitration Claim Criteria |
| § 21.5021. Arbitration Request Procedure |
| § 21.5022. Informal Settlement Teleconference |
| § 21.5023. Arbitration Participation |
| DIVISION 4. COMPLAINT RESOLUTION AND OUTREACH |
| § 21.5030. Complaint Resolution |
| DIVISION 5. EXPLANATION OF BENEFITS |
| § 21.5040. Required Explanation of Benefits and Enrollee Identification Card Information |
| DIVISION 6. BENCHMARKING |
| § 21.5050. Submission of Information |
| DIVISION 7. SUBMISSION REQUIREMENTS FOR ELECTION BY ERISA PLANS |
| § 21.5060. Election Submission Requirements |
| DIVISION 8. EMERGENCY MEDICAL SERVICE RATE SUBMISSION AND PAYMENT REQUIREMENTS |
| § 21.5070. Rate Database for Emergency Medical Services Providers |
| § 21.5071. Payments to Emergency Medical Services Providers |