Tex. Insurance Code § 843.311
This is the official text of Tex. Insurance Code § 843.311, part of Texas’s Insurance Code — regulates insurance companies and the policies they sell.
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§ 843.311. CONTRACTS WITH PODIATRISTS.
Official statutory text
A contract between a health maintenance organization and a podiatrist licensed by the Texas Department of Licensing and Regulation must provide that:
(1) the podiatrist may request, and the health maintenance organization shall provide not later than the 30th day after the date of the request, a copy of the coding guidelines and payment schedules applicable to the compensation that the podiatrist will receive under the contract for services;
(2) the health maintenance organization may not unilaterally make material retroactive revisions to the coding guidelines and payment schedules; and
(3) the podiatrist may, while practicing within the scope of the law regulating podiatry, provide x-rays and nonprefabricated orthotics covered by the evidence of coverage.
(1) the podiatrist may request, and the health maintenance organization shall provide not later than the 30th day after the date of the request, a copy of the coding guidelines and payment schedules applicable to the compensation that the podiatrist will receive under the contract for services;
(2) the health maintenance organization may not unilaterally make material retroactive revisions to the coding guidelines and payment schedules; and
(3) the podiatrist may, while practicing within the scope of the law regulating podiatry, provide x-rays and nonprefabricated orthotics covered by the evidence of coverage.
Status: in_force · Read it on the official government site
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