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386 chapters · 7,822 sections in this title.
Tex. Insurance Code § 1461.001 Definitions
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Sec. 1461.001. DEFINITIONS. In this chapter: (1) "Enrollee" means an individual who is eligible to receive health care services under a managed care plan. (2) "Maintenance of certification" has the meaning assigned by Section 151.002, Occupations Code. (3) "Managed care plan" mea…
Tex. Insurance Code § 1461.002 Applicability
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Sec. 1461.002. APPLICABILITY. (a) This chapter applies to a physician regardless of whether the physician is a participating physician. (b) This chapter applies to a person with whom a managed care plan issuer contracts to: (1) process or pay claims; (2) obtain the services of ph…
Tex. Insurance Code § 1461.003 Discrimination Based On Maintenance of Certification
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Sec. 1461.003. DISCRIMINATION BASED ON MAINTENANCE OF CERTIFICATION. (a) Except as provided by Subsection (b), a managed care plan issuer may not differentiate between physicians based on a physician's maintenance of certification in regard to: (1) paying the physician; (2) reimb…