Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter T - SUBMISSION OF CLEAN CLAIMS
- Section 21.2801 - Purpose and Scope
- Section 21.2802 - Definitions
- Section 21.2803 - Elements of a Clean Claim
- Section 21.2804 - Requests for Additional Information from Treating Preferred Provider
- Section 21.2805 - Requests for Additional Information from Other Sources
- Section 21.2806 - Claims Filing Deadline
- Section 21.2807 - Effect of Filing a Clean Claim
- Section 21.2808 - Effect of Filing Deficient Claim
- Section 21.2809 - Audit Procedures
- Section 21.2810 - Date of Claim Payment
- Section 21.2811 - Disclosure of Processing Procedures
- Section 21.2812 - Denial of Clean Claim Prohibited for Change of Address
- Section 21.2813 - Requirements Applicable to Other Contracting Entities
- Section 21.2814 - Electronic Adjudication of Prescription Benefits
- Section 21.2815 - Failure to Meet the Statutory Claims Payment Period
- Section 21.2816 - Date of Receipt
- Section 21.2817 - Terms of Contracts
- Section 21.2818 - Overpayment of Claims
- Section 21.2819 - Catastrophic Event
- Section 21.2820 - Identification Cards
- Section 21.2821 - Reporting Requirements
- Section 21.2822 - Administrative Penalties
- Section 21.2823 - Applicability to Certain Noncontracting Physicians and Providers
- Section 21.2824 - Applicability
- Section 21.2825 - Severability
- Section 21.2826 - Waiver
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
