Texas Insurance Code 1451.505 – Physician and Health Care Provider Directory On Internet Website
Current as of: 2024 | Check for updates
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(a) A health benefit plan issuer shall display on a public Internet website maintained by the issuer the directory required by § 1451.504. A direct electronic link to the directory must be displayed in a conspicuous manner in the electronic summary of benefits and coverage of each health benefit plan issued by the health benefit plan issuer on the Internet website.
(b) The health benefit plan issuer shall clearly indicate in the directory each health benefit plan issued by the issuer that may provide coverage for services provided by each physician or health care provider included in the directory.
Terms Used In Texas Insurance Code 1451.505
- Month: means a calendar month. See Texas Government Code 312.011
- Person: includes corporation, organization, government or governmental subdivision or agency, business trust, estate, trust, partnership, association, and any other legal entity. See Texas Government Code 311.005
(c) The directory must be:
(1) electronically searchable by physician or health care provider name, specialty, if any, facility, and location; and
(2) publicly accessible without necessity of providing a password, a user name, or personally identifiable information.
(d) The health benefit plan issuer shall conduct an ongoing review of the directory and correct or update the information as necessary. Except as provided by Subsection (e), corrections and updates, if any, must be made not less than once each month.
(e) The health benefit plan issuer shall conspicuously display in the directory required by § 1451.504 an e-mail address and a toll-free telephone number to which any individual may report any inaccuracy in the directory. If the issuer receives a report from any person that specifically identified directory information may be inaccurate, the issuer shall investigate the report and correct the information, as necessary, not later than the seventh day after the date the report is received.