(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 physicians to provide health care services to enrollees; or
(3) issue verifications or preauthorizations.

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Terms Used In Texas Insurance Code 1461.002

  • 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