HB 610, 76th R.S.
Relating to health care providers under certain health benefit plans.
Tex. Att'y Gen. Op. No. JC-0502, Whether Insurance Code art. 3.70-3C, ยง 3A(c), (i) and art. 20A.18B(c), (i) authorize the Texas Commissioner of Insurance to promulgate rules requiring health maintenance organizations and preferred provider organizations to disclose their policies regarding fees, bundling, and downcoding to physicians and other health care providers (RQ-0461-JC). Health plans, doctors go to battle over 'clean claims.' Paper tiger. Full disclosure? TDI issues rules on how insurers determine physician payments. The history and constitutionality of the Commissioner's power of restitution and its extension to the Prompt Pay Act. An interstate comparison of healthcare prompt-pay laws. |
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