Tex. Insurance Code § 843.313
This is the official text of Tex. Insurance Code § 843.313, part of Texas’s Insurance Code — regulates insurance companies and the policies they sell.
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§ 843.313. ECONOMIC PROFILING.
Official statutory text
(a) A health maintenance organization that conducts or uses economic profiling of physicians or providers participating in the health maintenance organization delivery network shall make available to a network physician or provider on request that physician's or provider's economic profile, including the standards by which the physician or provider is measured.
(b) The use of an economic profile must recognize the characteristics of a physician's or provider's practice that may account for variations from expected costs.
(b) The use of an economic profile must recognize the characteristics of a physician's or provider's practice that may account for variations from expected costs.
Status: in_force · Read it on the official government site
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