1. (a) An MCC, a physician, or a provider must notify the department if, due to a catastrophic event, it is unable to meet the deadlines in §21.2804 of this title (relating to Requests for Additional Information from Treating Preferred Provider), §21.2806 of this title (relating to Claim Filing Deadline), §21.2807 of this title (relating to Effect of Filing a Clean Claim), §21.2808 of this title (relating to Effect of Filing a Deficient Claim), §21.2809 of this title (relating to Audit Procedures), and §21.2815 of this title (relating to Failure to Meet the Statutory Claims Payment Period), as applicable. The entity must send the notification required under this subsection to the department within five days of the catastrophic event.

2. (b) Within 10 days after the entity returns to normal business operations, the entity must send a certification of the catastrophic event to the Life/Health and HMO Intake Team, Texas Department of Insurance, P.O. Box 149104, Mail Code 106-1E, Austin, Texas 78714-9104. The certification must:

   1. (1) be in the form of a sworn affidavit from:

      1. (A) for a physician or a provider, the physician, the provider, the office manager, the administrator, or their designees; or
      2. (B) for an MCC, a corporate officer or a corporate officer's designee;
   2. (2) identify the specific nature and date of the catastrophic event; and
   3. (3) identify the length of time the catastrophic event caused an interruption in the claims submission or processing activities of the physician, the provider, or the MCC.
3. (c) A valid certification to the occurrence of a catastrophic event under this section tolls the applicable deadlines in §§21.2804, 21.2806, 21.2807, 21.2808, 21.2809, and 21.2815 of this title for the number of days identified in subsection (b)(3) of this section as of the date of the catastrophic event.

Source Note:The provisions of this §21.2819 adopted to be effective October 5, 2003, 28 TexReg 8647; amended to be effective February 16, 2014, 39 TexReg 747.