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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 T. SUBMISSION OF CLEAN CLAIMS |
| § 21.2801. Purpose and Scope |
| § 21.2802. Definitions |
| § 21.2803. Elements of a Clean Claim |
| § 21.2804. Requests for Additional Information from Treating Preferred Provider |
| § 21.2805. Requests for Additional Information from Other Sources |
| § 21.2806. Claims Filing Deadline |
| § 21.2807. Effect of Filing a Clean Claim |
| § 21.2808. Effect of Filing Deficient Claim |
| § 21.2809. Audit Procedures |
| § 21.2810. Date of Claim Payment |
| § 21.2811. Disclosure of Processing Procedures |
| § 21.2812. Denial of Clean Claim Prohibited for Change of Address |
| § 21.2813. Requirements Applicable to Other Contracting Entities |
| § 21.2814. Electronic Adjudication of Prescription Benefits |
| § 21.2815. Failure to Meet the Statutory Claims Payment Period |
| § 21.2816. Date of Receipt |
| § 21.2817. Terms of Contracts |
| § 21.2818. Overpayment of Claims |
| § 21.2819. Catastrophic Event |
| § 21.2820. Identification Cards |
| § 21.2821. Reporting Requirements |
| § 21.2822. Administrative Penalties |
| § 21.2823. Applicability to Certain Noncontracting Physicians and Providers |
| § 21.2824. Applicability |
| § 21.2825. Severability |
| § 21.2826. Waiver |