APPLICABILITY OF SUBCHAPTER TO ENTITIES CONTRACTING WITH HEALTH MAINTENANCE ORGANIZATION.
Tex. INS Code § 843.344.
in effectThis subchapter applies to a person, including a pharmacy benefit manager, with whom a health maintenance organization contracts to:
(1) process or pay claims;
(2) obtain the services of physicians and providers to provide health care services to enrollees; or
(3) issue verifications or preauthorizations.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003. Amended by Acts 2003, 78th Leg., ch. 214, Sec. 16, eff. June 17, 2003.
Acts 2011, 82nd Leg., R.S., Ch. 798 (H.B. 2292 ), Sec. 5, eff. September 1, 2011.