28 Tex. Admin. Code, Chapter 21, Subchapter T – Submission of Clean Claims | Midpage

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Texas Administrative Code

Subchapter T

28 Tex. Admin. Code, Chapter 21, Subchapter T

Submission of Clean Claims

Texas Secretary of State

21.2801Purpose and Scope 21.2802Definitions 21.2803Elements of a Clean Claim 21.2804Requests for Additional Information from Treating Preferred Provider 21.2805Requests for Additional Information from Other Sources 21.2807Effect of Filing a Clean Claim 21.2809Audit Procedures 21.2810Date of Claim Payment 21.2811Disclosure of Processing Procedures 21.2812Denial of Clean Claim Prohibited for Change of Address 21.2813Requirements Applicable to Other Contracting Entities 21.2814Electronic Adjudication of Prescription Benefits 21.2815Failure to Meet the Statutory Claims Payment Period 21.2816Date of Receipt 21.2817Terms of Contracts 21.2818Overpayment of Claims 21.2819Catastrophic Event 21.2820Identification Cards 21.2821Reporting Requirements 21.2822Administrative Penalties 21.2823Applicability to Certain Noncontracting Physicians and Providers 21.2824Applicability 21.2825Severability 21.2826Waiver