Tex. Ins. Code §§ 1467.081 through 1467.089: Out of Network Claim Dispute Resolution — Mandatory Binding Arbitration for Other Providers – Texas

Status: Enacted
Year Enacted: 2009
Year Amended: 2019
File: Download

The commissioner shall establish and administer an arbitration program to resolve disputes over out-of-network provider charges in accordance with this subchapter. This subchapter applies only with respect to a health benefit claim submitted by an out-of-network provider who is not a facility. The only issue that an arbitrator may determine under this subchapter is the reasonable amount for the health care or medical services or supplies provided to the enrollee by an out-of-network provider.

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