§ 843.301 Practice of Medicine Not Affected
§ 843.302 Disclosure of Application Procedures and Qualification Requirements to Physician or Provider
§ 843.303 Denial of Initial Contract to Physician or Provider
§ 843.304 Exclusion of Provider Based On Type of License Prohibited
§ 843.3041 Acupuncturist Services
§ 843.3042 Chiropractic Services
§ 843.3045 Nurse First Assistant
§ 843.305 Annual Application Period for Physicians and Providers to Contract
§ 843.306 Termination of Participation; Advisory Review Panel
§ 843.307 Expedited Review Process On Termination or Deselection
§ 843.308 Notification of Patients of Deselected Physician or Provider
§ 843.309 Contracts With Physicians or Providers: Notice to Certain Enrollees of Termination of Physician or Provider Participation in Plan
§ 843.310 Contracts With Physicians or Providers: Certain Indemnity Clauses Prohibited
§ 843.311 Contracts With Podiatrists
§ 843.3115 Contracts With Dentists
§ 843.312 Physician Assistants and Advanced Practice Nurses
§ 843.313 Economic Profiling
§ 843.314 Inducement to Limit Medically Necessary Services Prohibited
§ 843.315 Payment of Capitation; Assignment of Primary Care Physician or Provider
§ 843.316 Alternative Capitation System
§ 843.317 Exclusion of Physician or Provider Based On Affiliation With Health Maintenance Organization Prohibited
§ 843.318 Certain Contracts of Participating Physician or Provider Not Prohibited
§ 843.319 Certain Required Contracts
§ 843.320 Use of Hospitalist
§ 843.321 Availability of Coding Guidelines
§ 843.323 Contract Provisions Prohibiting Rejection of Batched Claims

Terms Used In Texas Insurance Code Chapter 843 > Subchapter I - Relations With Physicians and Providers

  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Contract: A legal written agreement that becomes binding when signed.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • in writing: includes any representation of words, letters, or figures, whether by writing, printing, or other means. See Texas Government Code 312.011
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • 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
  • Presiding officer: A majority-party Senator who presides over the Senate and is charged with maintaining order and decorum, recognizing Members to speak, and interpreting the Senate's rules, practices and precedents.
  • Property: means real and personal property. See Texas Government Code 311.005
  • Quorum: The number of legislators that must be present to do business.
  • Signed: includes any symbol executed or adopted by a person with present intention to authenticate a writing. See Texas Government Code 311.005
  • Tort: A civil wrong or breach of a duty to another person, as outlined by law. A very common tort is negligent operation of a motor vehicle that results in property damage and personal injury in an automobile accident.
  • Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005
  • Year: means 12 consecutive months. See Texas Government Code 311.005