§ 1301.101 Definition
§ 1301.102 Submission of Claim
§ 1301.1021 Receipt of Claim
§ 1301.103 Deadline for Action On Clean Claims
§ 1301.104 Deadline for Action On Pharmacy Claims; Payment
§ 1301.105 Audited Claims
§ 1301.1051 Completion of Audit
§ 1301.1052 Preferred Provider Appeal After Audit
§ 1301.1053 Deadlines Not Extended
§ 1301.1054 Requests for Additional Information
§ 1301.106 Claims Processing Procedures and Claims Payment Processes
§ 1301.107 Contractual Waiver and Other Actions Prohibited
§ 1301.108 Attorney’s Fees
§ 1301.109 Applicability to Entities Contracting With Insurer

Terms Used In Texas Insurance Code Chapter 1301 > Subchapter C - Prompt Payment of Claims

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Contract: A legal written agreement that becomes binding when signed.
  • Electronic funds transfer: The transfer of money between accounts by consumer electronic systems-such as automated teller machines (ATMs) and electronic payment of bills-rather than by check or cash. (Wire transfers, checks, drafts, and paper instruments do not fall into this category.) Source: OCC
  • in writing: includes any representation of words, letters, or figures, whether by writing, printing, or other means. See Texas Government Code 312.011
  • 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
  • Rule: includes regulation. See Texas Government Code 311.005
  • Signed: includes any symbol executed or adopted by a person with present intention to authenticate a writing. See Texas Government Code 311.005
  • United States: includes a department, bureau, or other agency of the United States of America. See Texas Government Code 311.005