Tex. Insurance Code § 1301.069
SERVICES PROVIDED BY CERTAIN PHYSICIANS AND HEALTH CARE PROVIDERS
Texas · Texas Insurance Code · Status: effective
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- Citation
- Tex. Insurance Code § 1301.069, SERVICES PROVIDED BY CERTAIN PHYSICIANS AND HEALTH CARE PROVIDERS, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/681802
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Full text
The provisions of this chapter relating to prompt payment by an insurer of a physician or health care provider and to verification of medical care or health care services apply to a physician or provider who:
(1) is not a preferred provider included in the preferred provider network; and
(2) provides to an insured:
(A) care related to an emergency or its attendant episode of care as required by state or federal law; or
(B) specialty or other medical care or health care services at the request of the insurer or a preferred provider because the services are not reasonably available from a preferred provider who is included in the preferred delivery network.