Definitions

Tex. Insurance Code § 1275.001, under Balance Billing Prohibitions and Out-of-Network Claim Dispute Resolution For Certain Plans.

Tex. Insurance Code § 1275.001

Sec. 1275.001. DEFINITIONS. In this chapter: (1) "Enrollee" means an individual enrolled in a health benefit plan to which this chapter applies. (2) "Usual and customary rate" means the relevant allowable amount as described by the applicable master benefit plan document. Added by Acts 2021, 87th Leg., R.S., Ch. 1034 (H.B. 3924), Sec. 1, eff. September 1, 2021.