Texas Insurance Code 843.346 – Payment of Claims
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Terms Used In Texas Insurance Code 843.346
- Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005
Except as provided by this subchapter, a health maintenance organization shall pay a physician or provider for health care services and benefits provided to an enrollee not later than:
(1) the 45th day after the date on which a claim for payment is received with the documentation reasonably necessary to process the claim; or
(2) if applicable, within the number of calendar days specified by written agreement between the physician or provider and the health maintenance organization.