Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter OO - DISCLOSURES BY OUT-OF-NETWORK PROVIDERS
Section 21.4901 - Purpose and Applicability
Universal Citation: 28 TX Admin Code § 21.4901
Current through Reg. 50, No. 13; March 28, 2025
(a) The purpose of this subchapter is to interpret and implement Insurance Code §§ 1271.157, 1271.158, 1275.052, 1275.053, 1301.164, 1301.165, 1551.229, 1551.230, 1575.172, 1575.173, 1579.110, and 1579.111; and Insurance Code Chapter 1467.
(b) Section 21.4903 of this title is only applicable to a covered nonemergency health care or medical service or supply provided by:
(1) a facility-based provider
that is not a participating provider for a health benefit plan, if the service
or supply is provided at a health care facility that is a participating
provider; or
(2) a diagnostic
imaging provider or laboratory service provider that is not a participating
provider for a health benefit plan, if the service or supply is provided in
connection with a health care or medical service or supply provided by a
participating provider.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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