Insurance Code § 843.341
A health maintenance organization must give participating physicians or providers copies of applicable utilization review and claim processing policies, and its claims payment processes must use recognized CPT codes and stay consistent with recognized bundling edits and logic.
- Jurisdiction
- United States — Texas
- Instrument
- Code
- Version
- Undated source snapshot
- Language
- en
- Official source
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claim payment procedures claims processing utilization review
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Insurance Code § 843.341
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