§ 1301.051 Designation as Preferred Provider
§ 1301.0515 Acupuncturist Services
§ 1301.0516 Chiropractic Services
§ 1301.052 Designation of Advanced Practice Nurse or Physician Assistant as Preferred Provider
§ 1301.0521 Designation of Certain Podiatrists as Preferred Providers
§ 1301.0522 Designation of Certain Optometrists, Therapeutic Optometrists, and Ophthalmologists as Preferred Providers
§ 1301.053 Appeal Relating to Designation as Preferred Provider
§ 1301.054 Notice to Practitioners of Preferred Provider Benefit Plan
§ 1301.055 Complaint Resolution
§ 1301.056 Restrictions On Payment and Reimbursement
§ 1301.057 Termination of Participation; Expedited Review Process
§ 1301.058 Economic Profiling
§ 1301.059 Quality Assessment
§ 1301.060 Compensation On Discounted Fee Basis
§ 1301.061 Preferred Provider Networks
§ 1301.062 Preferred Provider Contracts Between Insurers and Podiatrists
§ 1301.0625 Health Care Collaboratives
§ 1301.063 Contract Provisions Relating to Use of Hospitalist
§ 1301.064 Contract Provisions Relating to Payment of Claims
§ 1301.0641 Contract Provisions Prohibiting Rejection of Batched Claims
§ 1301.0642 Contract Provisions Allowing Certain Adverse Material Changes Prohibited
§ 1301.065 Shifting of Insurer’s Tort Liability Prohibited
§ 1301.066 Retaliation Against Preferred Provider Prohibited
§ 1301.067 Interference With Relationship Between Patient and Physician or Health Care Provider Prohibited
§ 1301.068 Inducement to Limit Medically Necessary Services Prohibited
§ 1301.069 Services Provided by Certain Physicians and Health Care Providers
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Terms Used In Texas Insurance Code Chapter 1301 > Subchapter B - Relations With Physicians or Health Care Providers

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Fraud: Intentional deception resulting in injury to another.
  • in writing: includes any representation of words, letters, or figures, whether by writing, printing, or other means. See Texas Government Code 312.011
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • 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
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Tort: A civil wrong or breach of a duty to another person, as outlined by law. A very common tort is negligent operation of a motor vehicle that results in property damage and personal injury in an automobile accident.
  • Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005