Texas Insurance Code 1301.109 – Applicability to Entities Contracting With Insurer
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Terms Used In Texas Insurance Code 1301.109
- Person: includes corporation, organization, government or governmental subdivision or agency, business trust, estate, trust, partnership, association, and any other legal entity. See Texas Government Code 311.005
This subchapter applies to a person, including a pharmacy benefit manager, with whom an insurer contracts to:
(1) process or pay claims;
(2) obtain the services of physicians and health care providers to provide health care services to insureds; or
(3) issue verifications or preauthorizations.