™Your Policy Risk Impact Agent
386 chapters · 7,822 sections in this title.
Tex. Insurance Code § 1456.001 Definitions
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Sec. 1456.001. DEFINITIONS. In this chapter: (1) "Balance billing" means the practice of charging an enrollee in a health benefit plan that uses a provider network to recover from the enrollee the balance of a non-network health care provider's fee for service received by the enr…
Tex. Insurance Code § 1456.002 Applicability of Chapter
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Sec. 1456.002. APPLICABILITY OF CHAPTER. (a) This chapter applies to any health benefit plan that: (1) provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insur…
Tex. Insurance Code § 1456.003 Required Disclosure: Health Benefit Plan
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Sec. 1456.003. REQUIRED DISCLOSURE: HEALTH BENEFIT PLAN. (a) Each health benefit plan that provides health care through a provider network shall provide notice to its enrollees that: (1) a facility-based physician or other health care practitioner may not be included in the healt…
Tex. Insurance Code § 1456.004 Required Disclosure: Facility-Based Physicians
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Sec. 1456.004. REQUIRED DISCLOSURE: FACILITY-BASED PHYSICIANS. (a) If a facility-based physician bills a patient who is covered by a health benefit plan described in Section 1456.002 that does not have a contract with the facility-based physician, the facility-based physician sha…