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386 chapters · 7,822 sections in this title.
Tex. Insurance Code § 1451.2065 Contracts With Dentists
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Sec. 1451.2065. CONTRACTS WITH DENTISTS. (a) In this section: (1) "Covered service" means a dental care service for which reimbursement is available under a patient's employee benefit plan or health insurance policy, or for which reimbursement is available subject to a contractua…
Tex. Insurance Code § 1451.207 Prohibited Conduct
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Sec. 1451.207. PROHIBITED CONDUCT. (a) An employee benefit plan or health insurance policy may not: (1) interfere with or prevent an individual who is a party to or beneficiary of the plan or policy from selecting a dentist of the individual's choice to provide a dental care serv…
Tex. Insurance Code § 1451.208 Prior Authorization of Dental Care Services
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Sec. 1451.208. PRIOR AUTHORIZATION OF DENTAL CARE SERVICES. (a) For purposes of this section, "prior authorization" means a written and verifiable determination that one or more specific dental care services are covered under the patient's employee benefit plan or health insuranc…
Tex. Insurance Code § 1451.209 Requirements For Third Party Access To Provider Networks
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Sec. 1451.209. REQUIREMENTS FOR THIRD PARTY ACCESS TO PROVIDER NETWORKS. (a) At the time a provider network contract is entered into or when material modifications are made to the contract relevant to granting a third party access to the contract, an employee benefit plan or heal…