28 Tex. Admin. Code § 134.802
Insurance Carrier's Submission of Medical Bills to the Commission
Effective Jul 11, 200429 TexReg 6303Source 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.Texas Secretary of State
- (a) The insurance carrier shall submit medical billing data to the Commission 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 billing data electronically in the form and format prescribed by the Commission.
- (c) The Commission shall prescribe the form, format, and content of the required medical billing data submission.
- (d) This rule 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 rule 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.