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386 chapters · 7,822 sections in this title.
Tex. Insurance Code § 1371.004 Preauthorization
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Sec. 1371.004. PREAUTHORIZATION. A health benefit plan may require prior authorization for a prosthetic device or an orthotic device in the same manner that the health benefit plan requires prior authorization for any other covered benefit. Added by Acts 2009, 81st Leg., R.S., Ch…
Tex. Insurance Code § 1371.005 Managed Care Plan
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Sec. 1371.005. MANAGED CARE PLAN. A health benefit plan provider may require that, if coverage is provided through a managed care plan, the benefits mandated under this chapter are covered benefits only if the prosthetic devices or orthotic devices are provided by a vendor or a p…
Tex. Insurance Code § 1372.001 Definitions
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Sec. 1372.001. DEFINITIONS. In this chapter: (1) "Biomarker" means a characteristic that is objectively measured and evaluated as an indicator of normal biological processes, pathogenic processes, or pharmacologic responses to a specific therapeutic intervention. The term include…
Tex. Insurance Code § 1372.002 Applicability of Chapter
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Sec. 1372.002. APPLICABILITY OF CHAPTER. (a) This chapter applies only to a health benefit plan that 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 insuran…