28 Tex. Admin. Code § 134.802
Insurance Carrier Medical Electronic Data Interchange to the Division
Effective May 2, 200631 TexReg 3561Source Note: The provisions of this §134.802 adopted to be effective February 20, 1991, 16 TexReg 671; amended to be effective June 1, 1992, 17 TexReg 3250; amended to be effective December 1, 1992, 17 TexReg 7903; amended to be effective July 15, 2000, 25 TexReg 2139; amended to be effective July 11, 2004, 29 TexReg 6303; amended to be effective April 28, 2005, 30 TexReg 2398; amended to be effective May 2, 2006, 31 TexReg 3561.Texas Secretary of State
- (a) The insurance carrier shall submit medical bill and payment data to the Division within 30 days after the insurance carrier makes payment, denies payment, or receives a refund of overpayment on a medical bill.
- (b) Insurance carriers shall submit medical bill and payment data electronically in the form and format prescribed by the Division.
- (c) The Division shall prescribe the form, format, and content of the required medical bill and payment data submission.
- (d) This section shall apply to all dates of service on or after July 15, 2000, for facility and professional medical services except pharmacy and dental services.
- (e) This section shall apply to all dates of service on or after January 1, 2005, for pharmacy and dental services in addition to the already required facility and professional medical services.
Source Note:The provisions of this §134.802 adopted to be effective February 20, 1991, 16 TexReg 671; amended to be effective June 1, 1992, 17 TexReg 3250; amended to be effective December 1, 1992, 17 TexReg 7903; amended to be effective July 15, 2000, 25 TexReg 2139; amended to be effective July 11, 2004, 29 TexReg 6303; amended to be effective April 28, 2005, 30 TexReg 2398; amended to be effective May 2, 2006, 31 TexReg 3561.