State Law

Texas Statutes-Insurance Code-Title 6-Subtitle C-Chapter 843-Subchapter J. Payment of Claims to Physicians and Providers

08/24/2023 Texas Section 843.346

Payment of Claims

Prompt Payment Deadlines

Except as provided by this subchapter, a health maintenance organization shall pay a physician or provider for health care services and benefits provided to an enrollee not later than:

(1) the 45th day after the date on which a claim for payment is received with the documentation reasonably necessary to process the claim; or

(2) if applicable, within the number of calendar days specified by written agreement between the physician or provider and the health maintenance organization.