Tex. Ins. Code § 1271.158. Non-Network Diagnostic Imaging Provider or Laboratory Service Provider: Benefits Provided By Health Maintenance Organizations; Evidence of Coverage; Charges – Texas

Status: Enacted
Year Enacted: 2019
File: Download

A health maintenance organization shall pay for a covered health care service performed by or a covered supply related to that service provided to an enrollee by a non-network diagnostic imaging provider or laboratory service provider at the usual and customary rate or at an agreed rate if the provider performed the service in connection with a health care service performed by a network physician or provider.

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